Method Profile

Repeated-Irradiation Human Lung Organoids for Pirfenidone Transcript Testing

An epithelial H9-derived lung organoid model develops injury and fibrosis-like markers after repeated irradiation and responds transcriptionally to pirfenidone.

LungOrganoids
Seoul National University Museum entrance with a stone sign, pine trees and a curved facade.
Seoul National University Museum, photographed in August 2024. (EllalineSeoul, CC0 1.0)

Research Applications

Compare early radiation-associated molecular remodeling and compound effects in human lung epithelium.

Model & Design

H9 human embryonic stem-cell-derived lung organoids, passages 3–8; alveolar and airway epithelial populations without immune or fibroblast compartments.

Experimental Format

Two irradiation cycles at 2, 4 or 8 Gy; two 4 Gy exposures selected for follow-up. Pirfenidone 0.5 mg/mL immediately after each exposure, with Figure 7 day 5 RNA assessment.

Model Components

  • Component

    Controls and timing

    Description

    Unirradiated and PBS-treated irradiated organoids. The narrative and methods place the second irradiation on day 3, whereas Figures 2 and 7 specify day 4.

  • Component

    Parallel animal arm

    Description

    Separate female C57BL/6 mice received 14 Gy thoracic irradiation and were assessed at four and six months; histology used n = 5. The drug-response comparison was performed in organoids.

Measurements & Endpoints

  • Organoid diameter and Ki-67 cells
  • Epithelial/mesenchymal markers
  • Collagen I/III and collagen transcripts
  • TGFβ, GDF15 and PDGFA
  • Pirfenidone-associated TGFβ, α-SMA and COL1A2 RNA changes

Analysis

Repeated irradiation is compared with single and unirradiated conditions; pirfenidone is compared with irradiated vehicle. Recovered single-cell sequencing counts describe sampled cell populations. Epithelial fibrosis-like markers and delayed whole-lung pathology represent different model scales.

Published Evidence

  • Study Design

    Dose/repetition comparison followed by one benchmark antifibrotic intervention.

    Study Sample

    Organoid size n = 60 per condition; molecular/drug measurements n = 3; single-cell profiles 10,265 control and 6,890 irradiated cells.

    Comparison

    Single versus repeated irradiation, unirradiated control and pirfenidone versus PBS under selected repeated exposure.

    Finding

    Repeated irradiation reduced Ki-67 cells from approximately 30 to fewer than five per organoid and increased EMT-like/collagen-associated markers. Single irradiation did not significantly raise TGFβ; repetition did. Pirfenidone reduced TGFβ, α-SMA and COL1A2 RNA.

    Interpretation & Limits
    • The conflicting day 3/day 4 second-exposure timing limits reconstruction of a single irradiation interval.
    • The drug experiment measured transcript reduction after immediate post-exposure treatment; growth recovery and reversal of established fibrosis were not assessed.
    • No macrophage or fibroblast compartment; the TGFβ increase was modest (approximately twofold).
    • Cell-state markers provide no lineage tracing of epithelial cells into fibroblasts.

Sources

  1. A human lung organoid platform for studying radiation-induced pulmonary fibrosis and antifibrotic drug screening. Scientific Reports (2025). ↗