[HTML][HTML] The sodium/glucose cotransporters as potential therapeutic targets for CF lung diseases revealed by human lung organoid swelling assay

H Hirai, X Liang, Y Sun, Y Zhang, J Zhang… - … Therapy-Methods & …, 2022 - cell.com
H Hirai, X Liang, Y Sun, Y Zhang, J Zhang, YE Chen, H Mou, YY Zhao, J Xu
Molecular Therapy-Methods & Clinical Development, 2022cell.com
Cystic fibrosis (CF) is a lethal autosomal-recessive inherited disease caused by mutations in
the cystic fibrosis transmembrane conductance regulator (CFTR) gene. In the present work,
we derived human proximal lung organoids (HLOs) from patient-derived pluripotent stem
cells (PSCs) carrying disease-causing CFTR mutations. We evaluated the forskolin (Fsk)-
stimulated swellings of these HLOs in the presence of CFTR modulators (VX-770 and/or VX-
809) and demonstrated that HLOs respond to CFTR modulators in a mutation-dependent …
Cystic fibrosis (CF) is a lethal autosomal-recessive inherited disease caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. In the present work, we derived human proximal lung organoids (HLOs) from patient-derived pluripotent stem cells (PSCs) carrying disease-causing CFTR mutations. We evaluated the forskolin (Fsk)-stimulated swellings of these HLOs in the presence of CFTR modulators (VX-770 and/or VX-809) and demonstrated that HLOs respond to CFTR modulators in a mutation-dependent manner. Using this assay, we examined the effects of the sodium-dependent glucose cotransporter 1/2 (SGLT1/2) inhibitor drugs phlorizin and sotagliflozin on the basis of our findings that SGLT1 expression is upregulated in CF HLOs and airway epithelial cells compared with their wild-type counterparts. Unexpectedly, both drugs promoted dF/dF HLO swelling. These results reveal SGLTs, especially SGLT1, as potential therapeutic targets for treating CF lung diseases and demonstrate the use of PSC-derived HLOs as a preclinical tool in CF drug development.
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