. Ca, Mg 2+ free Phosphate buffered saline (PBS)

, PBT solution: 0.5% Triton-X100 is diluted in PBS

, Blocking solution: 10% normal donkey serum and 1% Bovine Serum Albumin (BSA), Fraction V, are diluted in PBS

, Mounting medium: 70% glycerol diluted in PBS (see Note 5)

, Ethanol solutions: 70, 75, 85, 90, 95 and 100% histology grade ethanol (v/v) diluted in Milli-Q -purified water

, 5-ethynyl-2'-deoxyuridine (EdU) solution: EdU powder (#A10044, Thermo Scientific) is diluted at 10mg/mL in sterile PBS (see Note 6)

H. Xylene, , vol.7001

D. Water,

, Click-iT EdU Alexa Fluor 488 Imaging Kit (#C10337, Thermo Scientific)

C. Buffer,

, Antibody diluent: 1% BSA is diluted in PBS

, Antibodies and fluorescent counterstain (see Table I)

, Sacrifice mice in accordance with the approved IACUC animal protocol in place (Isoflurane inhalation followed by cervical dislocation) 8 to 12 weeks post-transplantation

, Cut the tHIO using a razor blade to expose the interior lumen (see note 23)

, Using 0.2 mm diameter minutien pins, secure the piece of tissue on a silicone-coated glass Petri dish filled with ice-cold DPBS

, Stretch and pin the tissue flat with the mucosal side facing up (see Note 24)

, Gently scrape the surface of the mucosa with curved forceps to remove villi and debris and any mucus that is present

, Wash the tissue 3-4 times with ice-cold chelation buffer to remove villi and debris (see note 25)

, Cover the biopsy with freshly prepared 2mM EDTA chelation buffer (see Note 26)

, Place the Petri dish on ice and shake gently for 30 min on a horizontal orbital shaker

, Wash the tissue with ice-cold chelation buffer without EDTA

, Gently scrape the mucosal layer to release the intestinal crypts using curved forceps, vol.27

, Gently remove the crypt suspension from the petri dish using a pipette and transfer it to a 15 mL conical tube (see Note 28)

, Filter the crypt suspension through a 150 µm nylon mesh (see Note 29)

, Centrifuge the crypt suspension 5 min at 50 ´g, 4°C and discard the supernatant

, Resuspend the pellet in 1 mL ice-cold chelation buffer

, Centrifuge the crypt fraction for 10 min at 150 ´g, 4°C and remove the supernatant

, Resuspend the crypt pellet in basement membrane matrix using pre-chilled pipet tips

, Apply 50 µl of crypt suspension in basement membrane matrix per well on the pre-warmed plate. Slowly eject the basement membrane matrix

, Replace the medium with fresh Intesticult® Human Organoid Growth medium every 2 days for 8-10 days (see Notes 30 and 31) (Figure c-e)

, Figure 2: Enteroids derived from transplanted Human Intestinal Organoids (tHIO)

, Example of an experimental setup to generate tHIO-derived enteroids. (b) Close-up picture on representative tHIO crypts picked up before embedding in Matrigel®. (c-d) tHIOderived enteroids in Matrigel® after 2 days in culture. (e) Immunofluorescence staining of tHIO-derived enteroids. DAPI is shown in blue

, Divide intestinal growth medium into 10 mL aliquots in 15 mL conical tubes and freeze at -20°C for up to 3 months. Store thawed aliquots up to 5 days at 4°C without loss of activity

, Males are preferably used for the kidney subcapsular transplantation as their kidneys are bigger and easier to access

, The chow diet is supplemented with antibiotics and given to the mice at least 14 days prior any surgeries. The antibiotics decrease inflammation and risk of infection

, The anesthesia system delivers an isoflurane and oxygen mixture that can be controlled and monitored to maintain the anesthesia during surgery. The extra anesthetic gas is collected and evacuated into a canister

, Aqueous mounting media can also be used to mount coverslips onto microscope slides

, Desiccated 5-ethynyl-2'-deoxyuridine (EdU) is resuspended in PBS and heated at 70°C for

, Intestinal growth medium supplemented with 100 ng/ml recombinant Wnt3a (1:1000 dilution of 100 µg/ml stock), 1 µg/ml R-spondin 1 (1:1000 dilution of 1 mg/ml stock, p.100

, dilution of 100 µg/ml stock), and 50 ng/ml EGF (1:10 000 dilution of 500 mg/ml stock) can be used to culture HIO-derived epithelial organoid. Alternatively, recombinant growth factors could be replaced by Wnt3a, R-spondin, and Noggin conditioned media

, Intestinal growth medium aliquots are thawed and can be kept up to 5 days at 4°C without loss of activity. Add the human recombinant EGF prior media change (1:10 000 stock dilution)

, HIOs can be transplanted from 20 to 40 days of culture in vitro. 10. Final anesthetic gas concentration is achieved by delivering 2% Isoflurane with 2, pp.5-8

, Analgesia provisions are most effective at reducing the intensity of painful stimulation when given prior to the surgery. Any animal showing evidence of pain should be provided analgesia

, Keep the animal warm using a 37°C heating-pad. Adjust anesthetic gas concentration to

N. Barker, Adult intestinal stem cells: critical drivers of epithelial homeostasis and regeneration, Nat. Rev. Mol. Cell Biol, vol.15, pp.19-33, 2014.

B. D. Simons and H. Clevers, Stem cell self-renewal in intestinal crypt, Exp. Cell Res, vol.317, pp.2719-2724, 2011.

T. K. Noah, B. Donahue, and N. F. Shroyer, Intestinal development and differentiation, Exp. Cell Res, vol.317, pp.2702-2710, 2011.

S. Date and T. Sato, Mini-Gut Organoids: Reconstitution of the Stem Cell Niche, Annu. Rev. Cell Dev. Biol, vol.31, pp.269-289, 2015.

J. R. Spence, Directed differentiation of human pluripotent stem cells into intestinal tissue in vitro, Nature, vol.470, pp.105-109, 2011.

C. L. Watson, An in vivo model of human small intestine using pluripotent stem cells, Nat. Med, vol.20, pp.1310-1314, 2014.

K. W. Mccracken, J. C. Howell, J. M. Wells, and J. R. Spence, Generating human intestinal tissue from pluripotent stem cells in vitro, Nat. Protoc, vol.6, pp.1920-1928, 2011.

J. O. Múnera and J. M. Wells, Generation of Gastrointestinal Organoids from Human Pluripotent Stem Cells, Methods Mol. Biol. Clifton NJ, vol.1597, pp.167-177, 2017.

M. M. Mahe, N. E. Brown, H. M. Poling, and M. A. Helmrath, In Vivo Model of Small Intestine. Methods Mol. Biol. Clifton NJ, vol.1597, pp.229-245, 2017.

M. M. Mahe, N. Sundaram, C. L. Watson, N. F. Shroyer, and M. A. Helmrath,

, J. Vis. Exp. JoVE, 2015.