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Forskolin-induced Swelling in Intestinal Organoids: An In Vitro Assay for Assessing Drug Response in Cystic Fibrosis Patients
Published on: February 11, 2017
Testing organ-specific responses to therapies in tissues differentiated from Cystic Fibrosis patient derived iPSCs
Abdelkader Daoud1, Sunny Xia2, Onofrio Laselva3
1Programme in Molecular Medicine, Research Institute for SickKids Hospital, Toronto, Canada.
Abstract:
Cystic Fibrosis (CF) is a life-shortening disease that is caused by mutations in the CFTR gene, a gene that is expressed in multiple organs. There are several primary tissue models of CF disease, including nasal epithelial cultures and rectal organoids, that are effective in reporting the potential efficacy of mutation-targeted therapies called CFTR modulators. However, there is the well-documented variation in tissue dependent, therapeutic response amongst CF patients, even those with the same CF-causing mutation. Hence, there is an interest in developing strategies for comparing therapeutic efficacy in different organs relative to isogenic controls. In this study, we evaluated the CFTR chloride channel response to the highly effective CFTR modulator: Trikafta, in CF patient specific, iPSC-derived colonic and airway cultures relative to mutation-corrected (non-CF) tissues from that same individual. We measured pharmacological rescue in both tissues. This proof-of-concept study provides a roadmap for future comparisons of patient-specific CF therapeutic responses in both pulmonary and extra-pulmonary systems.
Insights
This study compares Cystic Fibrosis Transmembrane conductance Regulator (CFTR) modulator efficacy in patient-derived colon and airway cells. It establishes a method for assessing personalized CFTR therapies across different organs.
Area of Science:
- Biomedical research
- Genetics
- Cell biology
Background:
- Cystic Fibrosis (CF) is a genetic disorder caused by CFTR gene mutations.
- Current CF models like nasal cells and rectal organoids show variable therapeutic responses.
- Patient-specific responses to CFTR modulators differ across tissues, necessitating comparative strategies.
Purpose of the Study:
- To evaluate CFTR modulator (Trikafta) efficacy in patient-specific induced pluripotent stem cell (iPSC)-derived colonic and airway cultures.
- To compare therapeutic responses in CF tissues versus isogenic, mutation-corrected controls.
- To establish a framework for comparing CFTR modulator efficacy across pulmonary and extra-pulmonary systems.
Main Methods:
- Utilized patient-specific iPSC-derived colonic and airway epithelial cultures.
- Compared CFTR chloride channel response to Trikafta in CF tissues and mutation-corrected isogenic controls.
- Quantified pharmacological rescue of CFTR function in both tissue types.
Main Results:
- Demonstrated measurable CFTR chloride channel response to Trikafta in both iPSC-derived colonic and airway cultures.
- Showcased successful pharmacological rescue of CFTR function in patient-specific models.
- Validated the approach for comparing therapeutic efficacy in different organoid systems.
Conclusions:
- Patient-specific iPSC-derived colonic and airway models can effectively assess CFTR modulator efficacy.
- This study provides a proof-of-concept for comparing personalized CFTR therapies across multiple organs.
- The developed strategy offers a roadmap for future research into tissue-dependent CF therapeutic responses.
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