TY - JOUR KW - Adult Stem Cells KW - Influenza virus KW - SARS-CoV-2 AU - Ameen A. Salahudeen AU - Shannon S. Choi AU - Arjun Rustagi AU - Junjie Zhu AU - Vincent van Unen AU - Sean M. de la O AU - Ryan A. Flynn AU - Mar Margalef-Català AU - António J. M. Santos AU - Jihang Ju AU - Arpit Batish AU - Tatsuya Usui AU - Grace X. Y. Zheng AU - Caitlin E. Edwards AU - Lisa E. Wagar AU - Vincent Luca AU - Benedict Anchang AU - Monica Nagendran AU - Khanh Nguyen AU - Daniel J. Hart AU - Jessica M. Terry AU - Phillip Belgrader AU - Solongo B. Ziraldo AU - Tarjei S. Mikkelsen AU - Pehr B. Harbury AU - Jeffrey S. Glenn AU - K. Christopher Garcia AU - Mark M. Davis AU - Ralph S. Baric AU - Chiara Sabatti AU - Manuel R. Amieva AU - Catherine A. Blish AU - Tushar J. Desai AU - Calvin J. Kuo AB - The distal lung contains terminal bronchioles and alveoli that facilitate gas exchange. Three-dimensional in vitro human distal lung culture systems would strongly facilitate the investigation of pathologies such as interstitial lung disease, cancer and coronavirus disease 2019 (COVID-19) pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here we describe the development of a long-term feeder-free, chemically defined culture system for distal lung progenitors as organoids derived from single adult human alveolar epithelial type II (AT2) or KRT5+ basal cells. AT2 organoids were able to differentiate into AT1 cells, and basal cell organoids developed lumens lined with differentiated club and ciliated cells. Single-cell analysis of KRT5+ cells in basal organoids revealed a distinct population of ITGA6+ITGB4+ mitotic cells, whose offspring further segregated into a TNFRSF12Ahi subfraction that comprised about ten per cent of KRT5+ basal cells. This subpopulation formed clusters within terminal bronchioles and exhibited enriched clonogenic organoid growth activity. We created distal lung organoids with apical-out polarity to present ACE2 on the exposed external surface, facilitating infection of AT2 and basal cultures with SARS-CoV-2 and identifying club cells as a target population. This long-term, feeder-free culture of human distal lung organoids, coupled with single-cell analysis, identifies functional heterogeneity among basal cells and establishes a facile in vitro organoid model of human distal lung infections, including COVID-19-associated pneumonia. BT - Nature DA - 2020-12 DO - 10.1038/s41586-020-3014-1 IS - 7839 LA - en N2 - The distal lung contains terminal bronchioles and alveoli that facilitate gas exchange. Three-dimensional in vitro human distal lung culture systems would strongly facilitate the investigation of pathologies such as interstitial lung disease, cancer and coronavirus disease 2019 (COVID-19) pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here we describe the development of a long-term feeder-free, chemically defined culture system for distal lung progenitors as organoids derived from single adult human alveolar epithelial type II (AT2) or KRT5+ basal cells. AT2 organoids were able to differentiate into AT1 cells, and basal cell organoids developed lumens lined with differentiated club and ciliated cells. Single-cell analysis of KRT5+ cells in basal organoids revealed a distinct population of ITGA6+ITGB4+ mitotic cells, whose offspring further segregated into a TNFRSF12Ahi subfraction that comprised about ten per cent of KRT5+ basal cells. This subpopulation formed clusters within terminal bronchioles and exhibited enriched clonogenic organoid growth activity. We created distal lung organoids with apical-out polarity to present ACE2 on the exposed external surface, facilitating infection of AT2 and basal cultures with SARS-CoV-2 and identifying club cells as a target population. This long-term, feeder-free culture of human distal lung organoids, coupled with single-cell analysis, identifies functional heterogeneity among basal cells and establishes a facile in vitro organoid model of human distal lung infections, including COVID-19-associated pneumonia. PY - 2020 SP - 670 EP - 675 T2 - Nature TI - Progenitor identification and SARS-CoV-2 infection in human distal lung organoids UR - https://www.nature.com/articles/s41586-020-3014-1 VL - 588 Y2 - 2023-08-09 SN - 1476-4687 ER -