Human vascularized macrophage-islet organoids to model immune-mediated pancreatic β cell pyroptosis upon viral infection

Cell Stem Cell. 2024 Nov 7;31(11):1612-1629.e8. doi: 10.1016/j.stem.2024.08.007. Epub 2024 Sep 3.

Abstract

There is a paucity of human models to study immune-mediated host damage. Here, we utilized the GeoMx spatial multi-omics platform to analyze immune cell changes in COVID-19 pancreatic autopsy samples, revealing an accumulation of proinflammatory macrophages. Single-cell RNA sequencing (scRNA-seq) analysis of human islets exposed to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or coxsackievirus B4 (CVB4) viruses identified activation of proinflammatory macrophages and β cell pyroptosis. To distinguish viral versus proinflammatory-macrophage-mediated β cell pyroptosis, we developed human pluripotent stem cell (hPSC)-derived vascularized macrophage-islet (VMI) organoids. VMI organoids exhibited enhanced marker expression and function in both β cells and endothelial cells compared with separately cultured cells. Notably, proinflammatory macrophages within VMI organoids induced β cell pyroptosis. Mechanistic investigations highlighted TNFSF12-TNFRSF12A involvement in proinflammatory-macrophage-mediated β cell pyroptosis. This study established hPSC-derived VMI organoids as a valuable tool for studying immune-cell-mediated host damage and uncovered the mechanism of β cell damage during viral exposure.

Keywords: SARS-CoV-2; coxsackievirus B4; diabetes; endothelial cells; human pluripotent stem cells; organoids; pancreatic endocrine cells; proinflammatory macrophages; pyroptosis.

MeSH terms

  • COVID-19 / immunology
  • COVID-19 / pathology
  • COVID-19 / virology
  • Humans
  • Insulin-Secreting Cells* / immunology
  • Insulin-Secreting Cells* / pathology
  • Insulin-Secreting Cells* / virology
  • Macrophages* / immunology
  • Macrophages* / metabolism
  • Macrophages* / virology
  • Organoids* / immunology
  • Organoids* / pathology
  • Organoids* / virology
  • Pluripotent Stem Cells / metabolism
  • Pyroptosis*
  • SARS-CoV-2 / immunology