Abstract

In order to circumvent the limited access and donor variability of human primary alveolar cells, directed differentiation of human pluripotent stem cells (hiPSCs) into alveolar-like cells, provides a promising tool for respiratory disease modeling and drug discovery assays. In this work, a unique, miniaturized 96-Transwell microplate system is described where hiPSC-derived alveolar-like cells were cultured at an air–liquid interface (ALI). To this end, hiPSCs were differentiated into lung epithelial progenitor cells (LPCs) and subsequently matured into a functional alveolar type 2 (AT2)-like epithelium with monolayer-like morphology. AT2-like cells cultured at the physiological ALI conditions displayed characteristics of AT2 cells with classical alveolar surfactant protein expressions and lamellar-body like structures. The integrity of the epithelial barriers between the AT2-like cells was confirmed by applying a custom-made device for 96-parallelized transepithelial electric resistance (TEER) measurements. In order to generate an IPF disease-like phenotype in vitro, the functional AT2-like cells were stimulated with cytokines and growth factors present in the alveolar tissue of IPF patients. The cytokines stimulated the secretion of pro-fibrotic biomarker proteins both on the mRNA (messenger ribonucleic acid) and protein level. Thus, the hiPSC-derived and cellular model system enables the recapitulation of certain IPF hallmarks, while paving the route towards a miniaturized medium throughput approach of pharmaceutical drug discovery.

Highlights

  • In order to circumvent the limited access and donor variability of human primary alveolar cells, directed differentiation of human pluripotent stem cells into alveolar-like cells, provides a promising tool for respiratory disease modeling and drug discovery assays

  • Within this work the generation of functional human pluripotent stem cells (hiPSCs)-derived alveolar type 2 (AT2)-like cells was successfully achieved through the directed in vitro differentiation of hiPSCs involving the recapitulation of the complex in vivo development of the lung

  • lung epithelial progenitor cells (LPCs) maturation toward AT2-like cells was carried out on 96-Transwell inserts at air–liquid interface (ALI) to resemble the physiological environment of the mature human alveolar epithelium

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Summary

Introduction

In order to circumvent the limited access and donor variability of human primary alveolar cells, directed differentiation of human pluripotent stem cells (hiPSCs) into alveolar-like cells, provides a promising tool for respiratory disease modeling and drug discovery assays. A unique, miniaturized 96-Transwell microplate system is described where hiPSC-derived alveolar-like cells were cultured at an air–liquid interface (ALI) To this end, hiPSCs were differentiated into lung epithelial progenitor cells (LPCs) and subsequently matured into a functional alveolar type 2 (AT2)like epithelium with monolayer-like morphology. Idiopathic pulmonary fibrosis (IPF) is the most common and pernicious type among ILDs with unknown etiology It is characterized through progressive fibrosis within the lung e­ pithelium[1,2,3], involving alveolar epithelial cells and macrophages, monocytes and local f­ibroblasts[4]. To better understand the various mechanisms driving the disease, it is important to have a predictive in vitro system that can resemble the human physiological situation Immortalized cell lines, such as lung adenocarcinoma (A549) cells, have been widely used instead of primary c­ ells[20,21]. The access to non-diseased human primary alveolar cells is highly limited and cost intensive, rendering them less suitable for the application in large-scale cultures and medium throughput ­screenings[27]

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