Primary human hepatocyte organoid establishment
PHHs were obtained from commercial sources (Lonza, HUCPG and HUCPI; Sigma-Aldrich, MTOXH10002), PHH donors 1-3, 0.3, 28, 1.7 years, respectively). Upon thawing of the cells according to manufacturer’s instructions, cells were seeded into domes of BME in a 2:1 ratio of BME:AdvDMEM/F12+++ (33µl/drop), with 2 drops per well of a 24-well plate. The FH expansion medium as described above for FH organoids was used for transcriptomic experiments to evaluate PHH organoid outgrowth. To optimize PHH organoid growth, different conditions were tested, including supplementation of the FH expansion medium with combinations of 100ng/ml IL6, 20ng/ml IL11, 20ng/ml IL1ß, or 100ng/ml NRG1, and 10 µM cilofexor (GS-9674, FXRa) (MedChemExpress, HY-109083). The optimized PHH expansion medium consisted of AdvDMEM/F12+++ supplemented with 15% RSPO1-conditioned medium, 1xB-27 Supplement Minus VitaminA, 2.5mM nicotinamide, 1.25mM N-acetyl-L-cysteine, 50ng/ml EGF, 50ng/ml HGF, 20ng/ml TGFa, 10nM gastrin, 3µM CHIR-99021, 5µM A83-01, 50µg/ml primocin, 100ng/ml IL6, and 10µM FXRa. This medium was supplemented with 10µM Y-27632 to minimize anoikis during the first few days of culture. From passage 1, 1.5% Noggin-Fc conditioned medium (UPE, N002) was added to this medium for the first 5–8 days after passaging. Upon culture establishment, fibroblast outgrowth was avoided by initial replating of the cells and contaminating outgrowing large and thin-walled duct-like cystic organoids were meticulously manually removed from the culture. Organoids were cultured at 37 ºC and 5% CO2 and passaged using gentle pipetting 1:2 every 10–14 days for the first month, and every 2–3 weeks thereafter. Cultures were regularly tested for mycoplasma and tested negative without exception.