A

Engineered human hepatocyte organoids enable CRISPR-based target discovery and drug screening for steatosis

Nature Biotechnology, vol. 41, pp. 1567–1581

Abstract

Abstract The lack of registered drugs for nonalcoholic fatty liver disease (NAFLD) is partly due to the paucity of human-relevant models for target discovery and compound screening. Here we use human fetal hepatocyte organoids to model the first stage of NAFLD, steatosis, representing three different triggers: free fatty acid loading, interindividual genetic variability (PNPLA3 I148M) and monogenic lipid disorders (APOB and MTTP mutations). Screening of drug candidates revealed compounds effective at resolving steatosis. Mechanistic evaluation of effective drugs uncovered repression of de novo lipogenesis as the convergent molecular pathway. We present FatTracer, a CRISPR screening platform to identify steatosis modulators and putative targets using APOB−/− and MTTP−/− organoids. From a screen targeting 35 genes implicated in lipid metabolism and/or NAFLD risk, FADS2 (fatty acid desaturase 2) emerged as an important determinant of hepatic steatosis. Enhancement of FADS2 expression increases polyunsaturated fatty acid abundancy which, in turn, reduces de novo lipogenesis. These organoid models facilitate study of steatosis etiology and drug targets.

Authors 12

  1. Delilah F. G. Hendriks corresponding

    Royal Netherlands Academy of Arts and Sciences · Oncode Institute · Hubrecht Institute for Developmental Biology and Stem Cell Research

    Affiliation as printed

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands. d.hendriks@hubrecht.eu

    Oncode Institute, Utrecht, The Netherlands. d.hendriks@hubrecht.eu

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands

  2. Avans University of Applied Sciences · Utrecht University · University Medical Center Utrecht

    Affiliation as printed

    Molecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands

    Research Group Analysis Techniques in the Life Sciences, School of Life Sciences and Technology, Avans University of Applied Sciences, Breda, The Netherlands

  3. Royal Netherlands Academy of Arts and Sciences · Oncode Institute

    Affiliation as printed

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands

    Oncode Institute, Utrecht, The Netherlands

  4. Royal Netherlands Academy of Arts and Sciences · Oncode Institute

    Affiliation as printed

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands

    Oncode Institute, Utrecht, The Netherlands

  5. Royal Netherlands Academy of Arts and Sciences · Oncode Institute

    Affiliation as printed

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands

    Oncode Institute, Utrecht, The Netherlands

  6. Princess Máxima Center

    Affiliation as printed

    The Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands

  7. Maastricht University

    Affiliation as printed

    The Maastricht Multimodal Molecular Imaging Institute, Maastricht University, Maastricht, The Netherlands

  8. Maastricht University

    Affiliation as printed

    The Maastricht Multimodal Molecular Imaging Institute, Maastricht University, Maastricht, The Netherlands

  9. Utrecht University · University Medical Center Utrecht

    Affiliation as printed

    Molecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands

  10. Leiden University Medical Center

    Affiliation as printed

    Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, The Netherlands

  11. Benedetta Artegiani corresponding

    Royal Netherlands Academy of Arts and Sciences · Princess Máxima Center

    Affiliation as printed

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands. b.a.artegiani@prinsesmaximacentrum.nl

    The Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands. b.a.artegiani@prinsesmaximacentrum.nl

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands

  12. Hans C. Clevers corresponding

    Roche (Switzerland) · Royal Netherlands Academy of Arts and Sciences · University Medical Center Utrecht · Oncode Institute · Hubrecht Institute for Developmental Biology and Stem Cell Research · Princess Máxima Center

    Affiliation as printed

    Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences, Utrecht, The Netherlands. h.clevers@hubrecht.eu

    Oncode Institute, Utrecht, The Netherlands. h.clevers@hubrecht.eu

    Pharma, Research and Early Development of F. Hoffmann-La Roche Ltd, Basel, Switzerland. h.clevers@hubrecht.eu

    The Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands. h.clevers@hubrecht.eu

    University Medical Center Utrecht, Utrecht, The Netherlands. h.clevers@hubrecht.eu

    Oncode Institute, Utrecht, The Netherlands

Cited by 248 stored of 248

Cited by patents worldwide 1 (Lens.org)

References 74