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Updated: Jul 6, 2026

The Ex Vivo Culture and Pattern Recognition Receptor Stimulation of Mouse Intestinal Organoids
Published on: May 18, 2016
A Practical Guide to Developing and Troubleshooting Patient-Derived "Mini-Gut" Colorectal Organoids for Clinical
Rex Devasahayam Arokia Balaya1,2, Zahra Heydari1, Gobinda Sarkar1
1Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.
Abstract:
Patient-derived organoids (PDOs) have emerged as powerful tools in personalized medicine applicable to both non-malignant conditions and to cancer, where they are increasingly used for personalized drug screening and precision treatment strategies in part due to their ability to replicate tumor heterogeneity. They also serve as study model systems to understand disease mechanisms, pathways, and the impact of ex vivo exposures. We present a detailed step-by-step protocol for generating organoids from normal crypts, polyps, and tumors, including methods for tissue processing, crypt isolation, culture establishment, and the transition from basolateral to apical-out polarity for co-culture and exposure-based studies. The protocol also includes immunofluorescence staining procedures for cellular characterization and quality control measures. Our standardized approach successfully generates organoids from diverse colorectal tissues with high efficiency and reproducibility. This comprehensive guide addresses common technical challenges and provides troubleshooting strategies to improve success rates across different sample types. We believe that this resource will enhance reproducibility in organoid research and expand their utility in translational applications, particularly for personalized medicine approaches in colorectal cancer.
Insights
This study details a protocol for generating patient-derived organoids (PDOs) from colorectal tissues. These PDOs are crucial for personalized medicine, drug screening, and understanding cancer mechanisms.
Area of Science:
- Biotechnology
- Gastroenterology
- Oncology
Background:
- Patient-derived organoids (PDOs) are valuable models for personalized medicine and cancer research.
- PDOs replicate tumor heterogeneity, aiding drug screening and precision treatment strategies.
- Understanding disease mechanisms and ex vivo exposures is enhanced by organoid models.
Purpose of the Study:
- To present a detailed step-by-step protocol for generating organoids from normal, polyp, and tumor colorectal tissues.
- To provide methods for tissue processing, crypt isolation, culture establishment, and polarity transition.
- To include immunofluorescence staining and quality control for cellular characterization.
Main Methods:
- Standardized protocol for colorectal tissue processing and crypt isolation.
- Organoid culture establishment and basolateral to apical-out polarity transition.
- Immunofluorescence staining for cellular characterization and quality control.
Main Results:
- High-efficiency and reproducible generation of organoids from diverse colorectal tissues.
- Successful implementation of methods for tissue processing, crypt isolation, and culture.
- Standardized approach addresses technical challenges and improves success rates.
Conclusions:
- The developed protocol enhances reproducibility in organoid research.
- Organoid utility is expanded for translational applications in personalized medicine.
- This resource is particularly valuable for colorectal cancer research and precision treatment.
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