A scalable long-term in vitro model of human colonic epithelium with continuous barrier function

Background & Aims Human in vitro models of differentiated intestinal epithelium are valuable research tools for discovery and translational medicine. Primary adult colonic epithelium barrier function is difficult to assess in a 2-dimensional (2D) in vitro format for more than a few days due to rapid cellular turnover. We developed a transwell model of the colonic epithelium that maintains proliferative and differentiated cell types, allowing long-term culture. Methods Using 3-dimensional (3D) primary human colonoids, we seeded dissociated epithelium onto 96-well transwell membranes and added different media that was growth factor specific to apical or basolateral transwell chambers. Barrier integrity was assessed using a variety of stimuli and TEER was continuously monitored in real time for up to 2 weeks, followed by quantitative single-cell image analysis using high-content imaging and deep-learning-based cell segmentation. Results Epithelium cultured up to 30 days sustained a time-dependent differentiation, leading to the establishment of a monolayer with proliferative stem/progenitor and differentiated cell types. While monitoring continuous TEER across multiple donor organoids, barrier challenge assays recorded donor-specific responses to IFN-gamma, TNF-alpha, Clostridium difficile toxin B (TcdB), and ethylenediaminetetraacetic acid (EDTA). Endpoint immunofluorescence analysis of tight junctions and whole cell staining identified unique cellular features among treatment groups which significantly correlated with TEER, including cell-cell orientation (e.g., adjacent cell mean angle). Conclusions We demonstrate a high-throughput in vitro model of the homeostatic human colonic epithelium that maintains a long-term functional barrier. This model can be used to investigate complex epithelial barrier responses over time. Keywords Organoid, TEER, 2D, high-content imaging