PMID- 23727931 OWN - NLM STAT- MEDLINE DCOM- 20130923 LR - 20220317 IS - 1546-170X (Electronic) IS - 1078-8956 (Linking) VI - 19 IP - 7 DP - 2013 Jul TI - A functional CFTR assay using primary cystic fibrosis intestinal organoids. PG - 939-45 LID - 10.1038/nm.3201 [doi] AB - We recently established conditions allowing for long-term expansion of epithelial organoids from intestine, recapitulating essential features of the in vivo tissue architecture. Here we apply this technology to study primary intestinal organoids of people suffering from cystic fibrosis, a disease caused by mutations in CFTR, encoding cystic fibrosis transmembrane conductance regulator. Forskolin induces rapid swelling of organoids derived from healthy controls or wild-type mice, but this effect is strongly reduced in organoids of subjects with cystic fibrosis or in mice carrying the Cftr F508del mutation and is absent in Cftr-deficient organoids. This pattern is phenocopied by CFTR-specific inhibitors. Forskolin-induced swelling of in vitro-expanded human control and cystic fibrosis organoids corresponds quantitatively with forskolin-induced anion currents in freshly excised ex vivo rectal biopsies. Function of the CFTR F508del mutant protein is restored by incubation at low temperature, as well as by CFTR-restoring compounds. This relatively simple and robust assay will facilitate diagnosis, functional studies, drug development and personalized medicine approaches in cystic fibrosis. FAU - Dekkers, Johanna F AU - Dekkers JF AD - Department of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Center, Utrecht, The Netherlands. FAU - Wiegerinck, Caroline L AU - Wiegerinck CL FAU - de Jonge, Hugo R AU - de Jonge HR FAU - Bronsveld, Inez AU - Bronsveld I FAU - Janssens, Hettie M AU - Janssens HM FAU - de Winter-de Groot, Karin M AU - de Winter-de Groot KM FAU - Brandsma, Arianne M AU - Brandsma AM FAU - de Jong, Nienke W M AU - de Jong NW FAU - Bijvelds, Marcel J C AU - Bijvelds MJ FAU - Scholte, Bob J AU - Scholte BJ FAU - Nieuwenhuis, Edward E S AU - Nieuwenhuis EE FAU - van den Brink, Stieneke AU - van den Brink S FAU - Clevers, Hans AU - Clevers H FAU - van der Ent, Cornelis K AU - van der Ent CK FAU - Middendorp, Sabine AU - Middendorp S FAU - Beekman, Jeffrey M AU - Beekman JM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130602 PL - United States TA - Nat Med JT - Nature medicine JID - 9502015 RN - 0 (Mutant Proteins) RN - 059QF0KO0R (Water) RN - 126880-72-6 (Cystic Fibrosis Transmembrane Conductance Regulator) SB - IM MH - Animals MH - Biological Assay/methods MH - Cells, Cultured MH - Cystic Fibrosis/diagnosis/genetics/*pathology MH - Cystic Fibrosis Transmembrane Conductance Regulator/*analysis/genetics/metabolism MH - Female MH - HEK293 Cells MH - Humans MH - Intestinal Mucosa/metabolism/*pathology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Inbred CFTR MH - Mutant Proteins/analysis/genetics/metabolism/physiology MH - Organoids/metabolism/*pathology MH - Primary Cell Culture/methods MH - Water/metabolism EDAT- 2013/06/04 06:00 MHDA- 2013/09/24 06:00 CRDT- 2013/06/04 06:00 PHST- 2012/01/20 00:00 [received] PHST- 2012/12/20 00:00 [accepted] PHST- 2013/06/04 06:00 [entrez] PHST- 2013/06/04 06:00 [pubmed] PHST- 2013/09/24 06:00 [medline] AID - nm.3201 [pii] AID - 10.1038/nm.3201 [doi] PST - ppublish SO - Nat Med. 2013 Jul;19(7):939-45. doi: 10.1038/nm.3201. Epub 2013 Jun 2.