key: cord-0774722-hse0bui5 authors: Wang, Jianhai; Li, Xue; Wang, An; Zhao, Fuxiaonan; Wu, Qi; Li, Li; Yu, Hongzhi; Wu, Junping; Chen, Huaiyong title: Organoid technology demonstrates effects of potential drugs for COVID‐19 on the lung regeneration date: 2020-10-19 journal: Cell Prolif DOI: 10.1111/cpr.12928 sha: 8ba118b7106dfc5babcae3456a462d8e87e0f533 doc_id: 774722 cord_uid: hse0bui5 nan To the Editor, Upon entry into the lungs, SARS-CoV-2 uses the angiotensin-converting enzyme 2 (ACE2) receptor to facilitate viral entry into the epithelial cells that cover the airways and the alveolar gas-exchanging space, leading to extensive epithelial injury, which contributes to local inflammatory storm and a series of respiratory syndromes. Mouse club and AT2 cells were sorted and cultured in a 3D organoid-based system as previously described ( Figure 1A and B). 6 Chloroquine was shown to inhibit the production of SARS-CoV-2 (EC 50 = 1.13 μmol/L). 7 Chloroquine did not affect colony-forming ef- We are grateful to Dr Zichuan Liu at Tianjin University for critical review and constructive advice. This study was supported by the National Natural Science Foundation of China (81773394, 81970001 and 82070001) and the Natural Science Foundation of Tianjin (18ZXDBSY00150 and 19JCZDJC33600). The authors have no financial conflicts of interest. F I G U R E 1 Drug candidates being tested against SARS-CoV-2 have various distinct effects on the viability, proliferation and differentiation of mouse progenitor cells. A, Club and AT2 cells were segregated from mouse lung epithelial cells by fluorescence-activated cell sorting. B, Club cells and AT2 cells were cultured in a organoid platform, and organoids derived from club cells (day 7 after seeding) or from AT2 cells (day 10 after seeding) were imaged. C, G, Colony-forming efficiency (CFE) of club cells or AT2 cells in the absence or presence of indicated potential drugs for COVID-19 were calculated. D, H, Size of organoids derived from club cells or AT2 cells was quantified. E-F, Foxj1 and Foxa3 mRNA expression was measured in club organoid cultures. I, T1α mRNA expression was measured in AT2 organoid cultures. Doses of drugs: chloroquine (0, 1, 10 μmol/L); remdesivir (0, 1, 10 μmol/L); lopinavir (0, 10, 50 μmol/L); ritonavir (0, 10, 50 μmol/L); umifenovir (0, 1, 10 μmol/L); ribavirin (0, 100, 500 μmol/L); and favipiravir (0, 50, 500 μmol/L). *P ˂ .05, **P ˂ .01; all data shown are means ± SD. Scale bar, 500 μm The hallmarks of COVID-19 disease The cellular and physiological basis for lung repair and regeneration: past, present, and future Building and maintaining the epithelium of the lung Single cell RNA sequencing of 13 human tissues identify cell types and receptors of human coronaviruses Pulmonary fibrosis and COVID-19: the potential role for antifibrotic therapy Airway epithelial progenitors are region specific and show differential responses to bleomycin-induced lung injury Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro Clinical outcomes and plasma concentrations of baloxavirmarboxil and favipiravir in COVID-19 patients: an exploratory randomized Nelfinavir inhibits replication of severe acute respiratory syndrome coronavirus 2 in vitro Pharmacologic treatments for coronavirus disease 2019 (COVID-19): a review