Cellular crosstalk mediated by TGF-β drives epithelial-mesenchymal transition in patient-derived multi-compartment

Hiroaki Ayabe1, Erica A K DePasquale2, Surya P Amarachintha3

  • 1Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, TX, USA.

Nature Communications
|July 17, 2025
PubMed

Insights

Neonatal susceptibility to biliary atresia is linked to impaired bile duct development. Inhibiting TGF-β signaling in engineered biliary organoids improved epithelial development and reduced disease severity in mice.

Area of Science:

  • Hepatology and developmental biology
  • Pediatric gastroenterology and hepatology
  • Cellular and molecular biology

Background:

  • Neonatal diseases, including biliary atresia, stem from developmental defects in epithelial structures and cellular maturation.
  • Biliary atresia is a severe pediatric cholangiopathy impacting bile duct development.
  • Understanding biliary development is crucial for addressing neonatal susceptibility to liver diseases.

Purpose of the Study:

  • To investigate human biliary development and its vulnerability to biliary atresia.
  • To engineer multi-compartment biliary organoids (MBOs) for studying biliary development.
  • To explore the role of TGF-β/Activin-SMAD2/3 signaling in biliary atresia.

Main Methods:

  • Co-culture of human liver-derived epithelial organoid cells with endothelial and mesenchymal cells to create MBOs.
  • Comparison of MBOs derived from normal and diseased livers to identify developmental defects.
  • Inhibition of TGF-β signaling in MBOs and a mouse model of biliary atresia.

Main Results:

  • Normal MBOs replicated bile duct epithelium and peribiliary glands (PBGs).
  • Diseased MBOs showed defective epithelial layers, epithelial-mesenchymal transition (EMT), and activated TGF-β/Activin-SMAD2/3 signaling.
  • TGF-β inhibition suppressed EMT, promoted biliary epithelial development in MBOs, and ameliorated experimental biliary atresia in mice.

Conclusions:

  • TGF-β-dependent EMT is a key regulator of bile duct epithelial development.
  • Modulating TGF-β signaling can influence neonatal susceptibility to biliary injuries.
  • Engineered MBOs provide a valuable model for studying biliary development and disease.