TY - JOUR AU - Wyatt E. Lanik AU - Cliff J. Luke AU - Lila S. Nolan AU - Qingqing Gong AU - Lauren C. Frazer AU - Jamie M. Rimer AU - Sarah E. Gale AU - Raymond Luc AU - Shay S. Bidani AU - Carrie A. Sibbald AU - Angela N. Lewis AU - Belgacem Mihi AU - Pranjal Agrawal AU - Martin Goree AU - Marlie Maestas AU - Elise Hu AU - David G. Peters AU - Misty Good AB - Necrotizing enterocolitis (NEC) is a deadly gastrointestinal disease of premature infants that is associated with an exaggerated inflammatory response, dysbiosis of the gut microbiome, decreased epithelial cell proliferation, and gut barrier disruption. We describe an in vitro model of the human neonatal small intestinal epithelium (Neonatal-Intestine-on-a-Chip) that mimics key features of intestinal physiology. This model utilizes intestinal enteroids grown from surgically harvested intestinal tissue from premature infants and cocultured with human intestinal microvascular endothelial cells within a microfluidic device. We used our Neonatal-Intestine-on-a-Chip to recapitulate NEC pathophysiology by adding infant-derived microbiota. This model, named NEC-on-a-Chip, simulates the predominant features of NEC, including significant upregulation of proinflammatory cytokines, decreased intestinal epithelial cell markers, reduced epithelial proliferation, and disrupted epithelial barrier integrity. NEC-on-a-Chip provides an improved preclinical model of NEC that facilitates comprehensive analysis of the pathophysiology of NEC using precious clinical samples. This model is an advance toward a personalized medicine approach to test new therapeutics for this devastating disease., BT - JCI Insight DA - 2023 DO - 10.1172/jci.insight.146496 IS - 8 N2 - Necrotizing enterocolitis (NEC) is a deadly gastrointestinal disease of premature infants that is associated with an exaggerated inflammatory response, dysbiosis of the gut microbiome, decreased epithelial cell proliferation, and gut barrier disruption. We describe an in vitro model of the human neonatal small intestinal epithelium (Neonatal-Intestine-on-a-Chip) that mimics key features of intestinal physiology. This model utilizes intestinal enteroids grown from surgically harvested intestinal tissue from premature infants and cocultured with human intestinal microvascular endothelial cells within a microfluidic device. We used our Neonatal-Intestine-on-a-Chip to recapitulate NEC pathophysiology by adding infant-derived microbiota. This model, named NEC-on-a-Chip, simulates the predominant features of NEC, including significant upregulation of proinflammatory cytokines, decreased intestinal epithelial cell markers, reduced epithelial proliferation, and disrupted epithelial barrier integrity. NEC-on-a-Chip provides an improved preclinical model of NEC that facilitates comprehensive analysis of the pathophysiology of NEC using precious clinical samples. This model is an advance toward a personalized medicine approach to test new therapeutics for this devastating disease., PY - 2023 EP - e146496 T2 - JCI Insight TI - Microfluidic device facilitates in vitro modeling of human neonatal necrotizing enterocolitis–on-a-chip UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243823/ VL - 8 Y2 - 2023-09-15 SN - 2379-3708 ER -