RT Journal Article SR Electronic T1 Validating organoid-derived human intestinal monolayers for personalized therapy in cystic fibrosis JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201857 DO 10.26508/lsa.202201857 VO 6 IS 6 A1 Birimberg-Schwartz, Liron A1 Ip, Wan A1 Bartlett, Claire A1 Avolio, Julie A1 Vonk, Annelotte M A1 Gunawardena, Tarini A1 Du, Kai A1 Esmaeili, Mohsen A1 Beekman, Jeffrey M A1 Rommens, Johanna A1 Strug, Lisa A1 Bear, Christine E A1 Moraes, Theo J A1 Gonska, Tanja YR 2023 UL https://www.life-science-alliance.org/content/6/6/e202201857.abstract AB Highly effective drugs modulating the defective protein encoded by the CFTR gene have revolutionized cystic fibrosis (CF) therapy. Preclinical drug-testing on human nasal epithelial (HNE) cell cultures and 3-dimensional human intestinal organoids (3D HIO) are used to address patient-specific variation in drug response and to optimize individual treatment for people with CF. This study is the first to report comparable CFTR functional responses to CFTR modulator treatment among patients with different classes of CFTR gene variants using the three methods of 2D HIO, 3D HIO, and HNE. Furthermore, 2D HIO showed good correlation to clinical outcome markers. A larger measurable CFTR functional range and access to the apical membrane were identified as advantages of 2D HIO over HNE and 3D HIO, respectively. Our study thus expands the utility of 2D intestinal monolayers as a preclinical drug testing tool for CF.