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Modelling human development and disease in pluripotent stem-cell-derived gastric organoids
Open accessAbstract
Gastric diseases, including peptic ulcer disease and gastric cancer, affect 10% of the world's population and are largely due to chronic Helicobacter pylori infection. Species differences in embryonic development and architecture of the adult stomach make animal models suboptimal for studying human stomach organogenesis and pathogenesis, and there is no experimental model of normal human gastric mucosa. Here we report the de novo generation of three-dimensional human gastric tissue in vitro through the directed differentiation of human pluripotent stem cells. We show that temporal manipulation of the FGF, WNT, BMP, retinoic acid and EGF signalling pathways and three-dimensional growth are sufficient to generate human gastric organoids (hGOs). Developing hGOs progressed through molecular and morphogenetic stages that were nearly identical to the developing antrum of the mouse stomach. Organoids formed primitive gastric gland- and pit-like domains, proliferative zones containing LGR5-expressing cells, surface and antral mucous cells, and a diversity of gastric endocrine cells. We used hGO cultures to identify novel signalling mechanisms that regulate early endoderm patterning and gastric endocrine cell differentiation upstream of the transcription factor NEUROG3. Using hGOs to model pathogenesis of human disease, we found that H. pylori infection resulted in rapid association of the virulence factor CagA with the c-Met receptor, activation of signalling and induction of epithelial proliferation. Together, these studies describe a new and robust in vitro system for elucidating the mechanisms underlying human stomach development and disease.
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“Thus, RA is crucial for human posterior foregut specification, consistent with the role for RA in generating foregut derivatives such as stomach endoderm in vitro (McCracken et al., 2014) and how inhibiting RA synthesis abrogates both liver and pancreas formation in zebrafish embryos (Stafford and Prince, 2002).”
From A Roadmap for Human Liver Differentiation from Pluripotent Stem Cells (2018) · cites this paper as McCracken et al., 2014
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“D) endoderm into 3D-gut spheroids are performed by the activation of Wnt and FGF4 [6].”
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Insights on Three Dimensional Organoid Studies for Stem Cell Therapy in Regenerative Medicine
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Human stem cell-based disease modeling: prospects and challenges
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“Organoid systems have so far been established to model a variety of organs such as the intestine [46 ], stomach [47,48], pancreas [49], mammary tissue [50], brain [51], liver [52], and lung [53].”
BackgroundDesign Approaches for Generating Organ Constructs
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From Definitive Endoderm to Gut—a Process of Growth and Maturation
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“Exciting recent developments have revealed that the gut epithelium derived from pluripotent stem cells, when transplanted with nonepithelial cells, transits from an immature to an adult epithelium, thereby recapitulating the behavior of fetal-derived intestinal epithelium [97,122,123].”
A decade of liver organoids: Advances in disease modeling
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Mammalian tracheal development and reconstruction: insights from in vivo and in vitro studies
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Translating Developmental Principles to Generate Human Gastric Organoids
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Development of an automated 3D high content cell screening platform for organoid phenotyping
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“…standardizing the starting size of organoids, each with tradeoffs, that have been implemented across various starting cell types including adult stem cells (ASCs) as either tissue fragments or single cell suspensions [21-23], pluripotent stem cells (PSCs) [24-26], or fetal progenitor cells [27,28].”
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BackgroundSelf-organization in development, regeneration and organoids
Werner, S., Vu, H. T.-K., & Rink, J. C. (2016) · Current Opinion in Cell Biology · doi:10.1016/j.ceb.2016.09.002 · Cited by 32
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Induced Pluripotent Stem Cells
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“Matrigel, an EHS mouse sarcoma extract [17], contains laminin and a number of growth factors, which are extensively used in organoid cultures, such as gastric [18], mammary glands [19], intestinal [11], and brain [20].”
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“Since embryogenesis and organogenesis involve spatial cellular communication and tissue dynamics (Lancaster et al., 2013; McCracken et al., 2014; Rios & Clevers, 2018), and organoids can recapitulate these processes, non-invasive imaging of intact organoids can provide insights into morphogenesis…”
BackgroundSelf-organization of organoids from endoderm-derived cells
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BackgroundOncogenic potential of human pluripotent stem cell‐derived lung organoids with HER2 overexpression
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In Vitro Model of Human Trophoblast in Early Placentation
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“Significant progress has been made in designing various protocols for human organoids, such as the brain [8,9], lungs [10], liver [11], kidneys [12,13], prostate [14], retina [15] and gastrointestinal tissues [16,17].”
Background3D Human Organoids: The Next “Viral” Model for the Molecular Basis of Infectious Diseases
Chia, S. P. S., Kong, S. L. Y., Pang, J. K. S., & Soh, B.-S. (2022) · Biomedicines · doi:10.3390/biomedicines10071541 · Cited by 28
Organ regeneration based on developmental biology: past and future
Takeo, M., & Tsuji, T. (2018) · Current Opinion in Genetics & Development · doi:10.1016/j.gde.2018.05.008 · Cited by 31
Farzaneh, Z., Najarasl, M., Abbasalizadeh, S., Vosough, M., & Baharvand, H. (2018) · Stem Cells and Development · doi:10.1089/scd.2017.0074 · Cited by 28
“Since insulin protects cell viability and vitamin A acts as a posteriorizing factor [34], we have used the B-27 supplement with insulin and without vitamin A in our study.”
Metadata
- Authors
- McCracken, K. W., Catá, E. M., Crawford, C. M., Sinagoga, K. L., Schumacher, M., Rockich, B. E., Tsai, Y.-H., Mayhew, C. N., Spence, J. R., Zavros, Y., & Wells, J. M.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- University of Cincinnati (US)
- University of Michigan (US)
- Corresponding author
- Zavros, Yana
- Wells, James M.
- ORCID
- Venue
- Nature
- Published
- 2014-10-29
- Volume
- 516
- Issue
- 7531
- Pages
- 400-404
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC4270898
- OpenAlex
- W2054186703
- Cited by
- 980
- References
- 43
- Citations by year
- 2026: 54 · 2025: 67 · 2024: 87 · 2023: 69 · 2022: 104 · 2021: 106 · 2020: 96 · 2019: 79 · 2018: 82 · 2017: 93 · 2016: 86 · 2015: 50 · 2014: 6
- FWCI
- 32.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institutes of Health (5ul1rr026314-03)
- National Institute of General Medical Sciences (T32GM063483, R01GM072915)
- National Institute of Allergy and Infectious Diseases (U19AI116491)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK034933, K01DK091415, P30 DK0789392, R01DK083402, R01DK098350, R01DK080823, R01DK092456, P30DK078392)
- National Center for Research Resources (UL1-RR026314, U54-RR-025216)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Developmental Biology and Gene Regulation
- Health Sciences › Medicine › Gastroenterology › Helicobacter pylori-related gastroenterology studies
- Keywords
- gastric organoids, human pluripotent stem cells, induced pluripotent stem cells, human embryonic stem cells, gastric epithelium, Helicobacter pylori infection, CagA, c-Met, gastric endocrine cells, Lgr5, Neurog3, signaling pathways, peptic ulcer, gastric cancer, in vitro disease model
- MeSH terms
- Cell Differentiation, Humans, Models, Biological, Organoids, Stomach, Signal Transduction, Helicobacter pylori, Helicobacter Infections, Organogenesis, Pluripotent Stem Cells
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