iPSC-Induced Multilineage Liver, Small Intestinal, and Brain Organoid Infection Models for Hepatitis E Virus Propagation and Antiviral Drug Evaluation
Source Liu et al., 2025 · State Key Laboratory of Drug Regulatory Science, National Institutes for Food and Drug Control, Beijing, China · 10.1136/gutjnl-2025-336105
Abstract
This protocol establishes iPSC-derived multilineage organoids (liver, intestinal, and brain) that support the complete life cycle of wild-type hepatitis E virus (HEV) genotypes 1, 3a, and 4. The models recapitulate HEV-induced pathophysiology including hepatocyte injury, intestinal barrier dysfunction, and neuronal damage, providing platforms for HEV virology research and antiviral therapeutic evaluation.
Protocol overview
38 steps across 10 phases
- 1 iPSC Culture Setup
- 1 Endoderm-Mesoderm Co-induction
- 2 Posterior Foregut Specification (Days 4-8)
- 3 Spheroid Formation (Day 8)
- 4 Progenitor Patterning (Days 8-14)
- 5 Hepatic Maturation (Days 14-25)
- 1 Endoderm-Mesoderm Co-induction and Mid/Hindgut Specification
- 2 Spheroid Formation and Intestinal Patterning (Days 8-14)
- 3 Matrigel Embedding and Maturation (Days 11-35)
- 4 Polarity Reversal (Days 28-35)
- 1 Embryoid Body Formation (Days 0-2)
- 2 Neural Induction (Days 2-10)
- 3 Neural Expansion (Days 10-22)
- 4 Neuronal Maturation (Days 22-60)
- 1 Initial Sample Preparation and Clarification
- 2 Initial Centrifugation Steps
- 3 Ultracentrifugation
- 4 Iodixanol Density Gradient Centrifugation
- 5 Viral Load Quantification
- 1 Organoid Recovery from Matrigel
- 2 Viral Inoculation
- 3 Post-Infection Washing and Medium Exchange
- 4 Secondary Inoculation (Reinfection Validation)
- 1 Ribavirin Treatment
- 2 NITD008 Treatment (Alternative/Comparative Antiviral)
- 3 Viral Load Monitoring During Treatment
- 1 Gut-to-Liver Transmission (hIO Supernatant to hLO)
- 2 Liver-to-Gut Transmission (hLO Supernatant to hIO)
- 3 Sequential Passage in Cross-Organ System
- 1 Sample Collection for RNA Analysis
- 2 Quantitative RT-PCR for Viral and Host Gene Expression
- 3 Immunofluorescence Staining for Viral and Cellular Markers
- 4 Secondary Antibody Incubation and Imaging
- 5 Quantitative Image Analysis
- 1 Preparation of Culture Supernatants for ELISA
- 2 ELISA Measurements (Albumin, Factor IX, IL-6, ALT, AST)
- 3 Cell Viability Assessment (Antiviral Toxicity Testing)
- 4 CellTiter-Glo Luminescence Assay
Full SOP
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Attribution
This SOP was authored by Organthis based on the published method in Liu et al., 2025. The originating laboratory holds no rights in this SOP and has not endorsed it unless marked Verified.
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