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Multimodal single-cell transcriptomics with patient-specific iPSC-derived airway organoids as a drug screening approach for cystic fibrosis with nonsense mutations - 21/09/25

Doi : 10.1016/j.biopha.2025.118476 
Ping-Hsing Tsai a, b, 1, Yi-Ping Yang a, b, 1, Chia-Hao Wang a, b, Kung-Hao Liang a, c, Chih-Ling Yeh a, d, Tzu-Yu Huang a, b, Tzyh-Chang Hwang b, e, f, Wen-Liang Lo f, g, Yuan-Tzu Lan f, h, Lo-Jei Ching a, d, Mong-Lien Wang a, c, Teh-Ia Huo a, b, f, Yung-Hung Luo f, i, Shih-Hwa Chiou a, b, j, Shih-Jie Chou a, b, f,
a Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan 
b Institute of Pharmacology, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan 
c Institute of Food Safety and Health Risk Assessment, School of Pharmaceutical Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan 
d Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan 
e Membrane Protein Structural Biology Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan 
f School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan 
g Division of Oral and Maxillofacial Surgery, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan 
h Division of Colon & Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan 
i Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan 
j National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan 

Corresponding author at: Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan. Department of Medical Research, Taipei Veterans General Hospital Taipei Taiwan

Abstract

Cystic fibrosis arises from loss-of-function mutations in the CFTR gene, disrupting epithelial ion homeostasis and impairing airway mucus clearance. While missense mutations typically lead to minor conformational alterations that can be rectified with pharmacological interventions, nonsense mutations pose a more significant therapeutic challenge. In this research, we established an in vitro model of cystic fibrosis (CF) employing patient-specific induced pluripotent stem cells (iPSCs) that contain the CFTR-S308X nonsense mutation. We generated CF patient-specific iPSC-derived 3D airway organoids (AOs) that exhibit phenotypic characteristics akin to those of CF, including airway epithelial cells, basal cells, and goblet cells. By employing a single-cell RNA sequencing (scRNA-seq) approach, we analyzed the cellular composition of CFTR-S308X-mutated CF-AOs to explore the potential molecular pathogenesis. Multimodal scRNA-seq analyses were conducted using CellChat to evaluate intercellular communication and RNA velocity to assess transcriptomic dynamics. The CellChat analysis indicated that the TGF-β and EGF signaling pathways may facilitate inflammatory interactions among goblet cells and other cellular subpopulations. The RNA velocity analysis suggested that TNF-α-mediated processes, including autophagy, renin secretion, and relaxin signaling, were upregulated. Deconvolution of bulk RNA sequencing data from patients with CF expressing nonsense mutations corroborated the persistent activation of the TGF-β, TNF-α, and EGF-driven inflammatory pathways in CFTR-S308X-AOs, particularly within the goblet cell subpopulation. Utilizing multimodal single-cell transcriptomics with the ASGARD framework, we found that nintedanib, N-acetylcysteine, and losartan were associated with attenuation of the TNF-α pathway in CF with nonsense mutations. This CF-3D airway organoid model recapitulates aspects of pathogenesis at the single-cell level and serves as a platform for evaluating therapeutics targeting CFTR nonsense mutations.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Cystic fibrosis, Induced pluripotent stem cells, Airway organoids, Single-cell RNA sequencing, Goblet cells, Cell - cell communication , RNA velocity


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