Generation of a distal lung cancer organoid model using oncogenic ret-expressing induced pluripotent stem cells

Jin Wook Hwang1,2, Christophe Desterke1,2, Paul Marcoux1,2

  • 1INSERM UMR-S-1310, Université Paris Saclay, 94800 Villejuif, France.

Iscience
|July 23, 2026
PubMed

Insights

Researchers developed a new preclinical model using induced pluripotent stem cells (iPSCs) to study RET-altered non-small cell lung cancer (NSCLC). This model helps identify therapeutic targets for lung cancer resistant to RET inhibitors.

Area of Science:

  • Oncology
  • Stem Cell Biology
  • Genetics

Background:

  • Genetic alterations in the tyrosine kinase receptor RET are implicated in a subset of non-small cell lung cancers (NSCLCs).
  • Developing effective preclinical models is crucial for understanding NSCLC pathogenesis and identifying novel therapeutic strategies.

Purpose of the Study:

  • To generate organoids with lung cancer features from iPSC lines harboring oncogenic RET mutations.
  • To establish a preclinical model for studying RET-altered NSCLC and identifying therapeutic targets.

Main Methods:

  • Utilized two iPSC lines with RET-M918T and RET-C634Y mutations.
  • Generated lung progenitor cells (LPCs) and cultured them using air-liquid interface.
  • Transplanted LPCs into NOD/SCID mice to form tumors.
  • Performed single-cell RNA sequencing to analyze gene expression related to drug response.

Main Results:

  • Generated alveolar structures expressing key lung markers (SFTPC, TTF-1, MUC1, CK5/6).
  • Transplanted LPCs formed tumors with bronchial structures and differentiated cell types, including squamous cell carcinoma markers.
  • Identified major genes involved in response and resistance to Selpercatinib using single-cell RNA sequencing.

Conclusions:

  • The iPSC-derived preclinical model effectively recapitulates key features of NSCLC.
  • This model shows significant potential for identifying new therapeutic targets in RET-inhibitor-refractory lung cancers.

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