RT Journal Article SR Electronic T1 Human pluripotent stem cell-derived acinar/ductal organoids generate human pancreas upon orthotopic transplantation and allow disease modelling JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP gutjnl-2016-312423 DO 10.1136/gutjnl-2016-312423 A1 Meike Hohwieler A1 Anett Illing A1 Patrick C Hermann A1 Tobias Mayer A1 Marianne Stockmann A1 Lukas Perkhofer A1 Tim Eiseler A1 Justin S Antony A1 Martin Müller A1 Susanne Renz A1 Chao-Chung Kuo A1 Qiong Lin A1 Matthias Sendler A1 Markus Breunig A1 Susanne M Kleiderman A1 André Lechel A1 Martin Zenker A1 Michael Leichsenring A1 Jonas Rosendahl A1 Martin Zenke A1 Bruno Sainz, Jr A1 Julia Mayerle A1 Ivan G Costa A1 Thomas Seufferlein A1 Michael Kormann A1 Martin Wagner A1 Stefan Liebau A1 Alexander Kleger YR 2016 UL http://gut.bmj.com/content/early/2016/09/15/gutjnl-2016-312423.abstract AB Objective The generation of acinar and ductal cells from human pluripotent stem cells (PSCs) is a poorly studied process, although various diseases arise from this compartment.Design We designed a straightforward approach to direct human PSCs towards pancreatic organoids resembling acinar and ductal progeny.Results Extensive phenotyping of the organoids not only shows the appropriate marker profile but also ultrastructural, global gene expression and functional hallmarks of the human pancreas in the dish. Upon orthotopic transplantation into immunodeficient mice, these organoids form normal pancreatic ducts and acinar tissue resembling fetal human pancreas without evidence of tumour formation or transformation. Finally, we implemented this unique phenotyping tool as a model to study the pancreatic facets of cystic fibrosis (CF). For the first time, we provide evidence that in vitro, but also in our xenograft transplantation assay, pancreatic commitment occurs generally unhindered in CF. Importantly, cystic fibrosis transmembrane conductance regulator (CFTR) activation in mutated pancreatic organoids not only mirrors the CF phenotype in functional assays but also at a global expression level. We also conducted a scalable proof-of-concept screen in CF pancreatic organoids using a set of CFTR correctors and activators, and established an mRNA-mediated gene therapy approach in CF organoids.Conclusions Taken together, our platform provides novel opportunities to model pancreatic disease and development, screen for disease-rescuing agents and to test therapeutic procedures.