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Macrophage-augmented intestinal organoids model virus-host interactions in enteric viral diseases and facilitate therapeutic development

Nature Communications, vol. 16, pp. 4475

Abstract

The pathogenesis of enteric viral infections is attributed to both viral replication and the resultant immune-inflammatory response. To recapitulate this complex pathophysiology, we engineer macrophage-augmented organoids (MaugOs) by integrating human macrophages into primary intestinal organoids. Echovirus 1, echovirus 6, rotavirus, seasonal coronavirus OC43 and SARS-CoV-2- known to directly invade the intestine- are used as disease modalities. We demonstrate that these viruses efficiently propagate in MaugOs and stimulate the host antiviral response. However, rotavirus, coronavirus OC43 and SARS-CoV-2, but not the two echoviruses, trigger inflammatory responses. Acetate, a microbial metabolite abundantly present in the intestine, potently inhibits virus-induced inflammatory responses in MaugOs, while differentially affecting viral replication in macrophages and organoids. Furthermore, we provide a proof-of-concept of combining antiviral agent with either anti-inflammatory regimen or acetate to simultaneously inhibit viral infection and inflammatory response in MaugOs. Collectively, these findings demonstrate that MaugOs are innovative tools for studying the complex virus-host interactions and advancing therapeutic development.

Authors 19

  1. Sichuan University · Erasmus MC · West China Hospital of Sichuan University · Shandong Agricultural University

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

    Department of Preventive Veterinary Medicine, College of Veterinary Medicine, Shandong Agricultural University, Taian, Shandong, 271018, China

    Precision Medicine Translational Research Center, West China Hospital, Sichuan University, Chengdu, 610041, China

  2. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  3. Leiden University Medical Center

    Affiliation as printed

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

  4. Xuzhou Medical College

    Affiliation as printed

    Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, 221004, China

  5. Leiden University Medical Center

    Affiliation as printed

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

  6. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  7. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  8. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  9. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  10. Shandong Agricultural University

    Affiliation as printed

    Department of Preventive Veterinary Medicine, College of Veterinary Medicine, Shandong Agricultural University, Taian, Shandong, 271018, China

  11. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  12. Norwegian University of Science and Technology

    Affiliation as printed

    Department of Clinical and Molecular Medicine (IKOM), Norwegian University of Science and Technology, 7028, Trondheim, Norway

  13. University Health Network · Toronto General Hospital · Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

    Toronto Centre for Liver Disease, Toronto General Hospital, University Health Network, Toronto, ON, Canada

  14. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  15. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  16. Xuzhou Medical College

    Affiliation as printed

    Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, 221004, China

  17. Leiden University Medical Center

    Affiliation as printed

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

  18. Erasmus MC

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands

  19. Pengfei Li corresponding

    Sichuan University · Erasmus MC · West China Hospital of Sichuan University

    Affiliation as printed

    Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, the Netherlands. p.li@erasmusmc.nl

    Precision Medicine Translational Research Center, West China Hospital, Sichuan University, Chengdu, 610041, China. p.li@erasmusmc.nl

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References 52