Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Modeling Inflammatory Bowel Disease by Intestinal Organoids

Version 1 : Received: 31 March 2022 / Approved: 4 April 2022 / Online: 4 April 2022 (10:35:01 CEST)

A peer-reviewed article of this Preprint also exists.

Giorgio, C.D.; Roselli, R.; Biagioli, M.; Bordoni, M.; Ricci, P.; Zampella, A.; Distrutti, E.; Donini, A.; Fiorucci, S. Modeling Inflammatory Bowel Disease by Intestinal Organoids. Recent Advances in Inflammation & Allergy Drug Discovery 2023, 17, 39–53, doi:10.2174/2772270817666221121143853. Giorgio, C.D.; Roselli, R.; Biagioli, M.; Bordoni, M.; Ricci, P.; Zampella, A.; Distrutti, E.; Donini, A.; Fiorucci, S. Modeling Inflammatory Bowel Disease by Intestinal Organoids. Recent Advances in Inflammation & Allergy Drug Discovery 2023, 17, 39–53, doi:10.2174/2772270817666221121143853.

Abstract

Inflammatory bowel disease (IBD) is a chronic and relapsing disease caused by a dysregulated immune response to host intestinal microbiota that occurs in genetically predisposed individuals. IBD encompasses two major clinical entities: ulcerative colitis (UC), which is limited to the colonic mucosa, and Crohn disease (CD), which might affect any segment of the gastrointestinal tract. Despite the prevalence of IBD is increasing worldwide, therapy remains suboptimal, largely because the variability of causative mechanisms, raising the need to develop individualized therapeutic approaches targeted to each individual patient. In this context, patients-derived intestinal organoids represent an effective tool for advancing our understanding on IBD’ s pathogenesis. Organoid 3D culture systems offer a unique model for dissecting epithelial mechanisms involved IBDs and test individualized therapy, although the lack of a functional immune system and a microbiota, two driving components of the IBD pathogenesis, represent a major barrier for their exploitation in clinical medicine. In this review we have examined how to improve the translational utility of intestinal organoids in IBD and how co-coltures of 3D or 2D organoids and immune cells and/or intestinal microbiota might help to overcome these limitations.

Keywords

Organoids; IBD; Inflammation; Target therapy; microbiota; immune system

Subject

Medicine and Pharmacology, Gastroenterology and Hepatology

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