Scientists have grown the first 3-D mini lungs from stem cells, which means research is one step closer to being able to create one of the Big 5 organs from a patient's stem cells rather than having waiting lists for donors.

The University of Michigan scientists succeeded in growing structures resembling both the large proximal airways and the small distal airways.

Their recipe: 

Embryonic stem cells

Proteins involved in lung development

Growth factors

Inhibitors of intestine development

Growing media

Petri dish

Protein mixture

Method for "morphogenesis in a dish"

First, add protein ActivinA to stem cells and leave for four days. A type of tissue called endoderm will form. Endoderm is found in early embryos and gives rise to the lung, liver and several other internal organs. Add Noggin, another protein, and a transforming growth factor. Leave for another four days. You will find the endoderm is induced to form 3D spherical structures called the foregut spheroids. 

Lead author Dr. Jason Spence says, "We expected different cells types to form, but their organisation into structures resembling human airways surprised us and is a very exciting result." 

The next challenge is to make these structures expand and develop into lung tissue by exposing the cells to proteins involved in lung development.

Transfer spheroids to protein mixture and incubate at room temperature for 10 minutes until the mixture solidifies. Treat with additional proteins every four days and transfer into a new protein mixture every 10-15 days.

The resulting lung organoids should survive in culture for over 100 days and develop into well-organised structures containing cell types found in the lung. You will find the lung organoids are self-organizing, and do not require further manipulation to generate 3-dimensional tissues.

Previous studies have focused on forming the outer tissue of the lung (the epithelium). With this new method, you will be able to go one step further by also creating connective tissue (mesenchyme). In a more recent study, distal airway tissue was formed, which gives rise to the small airways less than 2mm in diameter. With the new method, cells of the large proximal airways also form, enabling more complete study of lung development and lung diseases.

Additional options:

Add the foregut spheroids to a lung scaffold from a human lung - use one deemed unsuitable for transplantation. On this scaffold, uou will find the organoids mature faster.

To study genetic disorders that affect lung development, produce stem cell lines from affected patients or introduce mutations to healthy cells. This will allow you to observe how a mutation affects cell differentiation, tissue organization, and tissue growth.

Since these structures were developed in a dish, they are lacking several components of the native lung, including blood vessels, which are a critical component of gas exchange.

We hope to build on our initial findings to build increasingly complex mini-lungs by adding these components, eventually forming tiny organs able to perform functions related to breathing.

Citation: 'In vitro generation of human pluripotent stem cell derived lung organoids' eLife http://dx.doi.org/10.7554/eLife.05098