Invited review: human air-liquid-interface organotypic airway tissue models derived from primary tracheobronchial epithe

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INVITED REVIEW

Invited review: human air-liquid-interface organotypic airway tissue models derived from primary tracheobronchial epithelial cells—overview and perspectives Xuefei Cao 1 & Jayme P. Coyle 2 & Rui Xiong 1 & Yiying Wang 1 & Robert H. Heflich 1 & Baiping Ren 1 & William M. Gwinn 3 & Patrick Hayden 4 & Liying Rojanasakul 2 Received: 26 June 2020 / Accepted: 29 September 2020 / Editor: Tetsuji Okamoto # The Society for In Vitro Biology 2020

Abstract The lung is an organ that is directly exposed to the external environment. Given the large surface area and extensive ventilation of the lung, it is prone to exposure to airborne substances, such as pathogens, allergens, chemicals, and particulate matter. Highly elaborate and effective mechanisms have evolved to protect and maintain homeostasis in the lung. Despite these sophisticated defense mechanisms, the respiratory system remains highly susceptible to environmental challenges. Because of the impact of respiratory exposure on human health and disease, there has been considerable interest in developing reliable and predictive in vitro model systems for respiratory toxicology and basic research. Human air-liquid-interface (ALI) organotypic airway tissue models derived from primary tracheobronchial epithelial cells have in vivo–like structure and functions when they are fully differentiated. The presence of the air-facing surface allows conducting in vitro exposures that mimic human respiratory exposures. Exposures can be conducted using particulates, aerosols, gases, vapors generated from volatile and semi-volatile substances, and respiratory pathogens. Toxicity data have been generated using nanomaterials, cigarette smoke, e-cigarette vapors, environmental airborne chemicals, drugs given by inhalation, and respiratory viruses and bacteria. Although toxicity evaluations using human airway ALI models require further standardization and validation, this approach shows promise in supplementing or replacing in vivo animal models for conducting research on respiratory toxicants and pathogens. Keywords Air-liquid-interface (ALI) airway cultures . Exposure system . Inhalation toxicology . Pulmonary drug testing . Pathogen-host interaction

Abbreviations ALI Air-liquid-interface AZM Azithromycin CB Chronic bronchitis

* Xuefei Cao [email protected] 1

Division of Genetic and Molecular Toxicology, National Center for Toxicological Research, US Food and Drug Administration, 3900 NCTR Rd., AR Jefferson, USA

2

Allergy and Clinical Immunology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, USA

3

Division of the National Toxicology Program, National Institute of Environmental Health Sciences, Durham, NC, USA

4

BioSurfaces Inc., Ashland, MA, USA

CBF CF CFD CI COPD CS CSC CSE CXM DA DE ENM GHS ICH

IL-13 ISO

Cilia beating frequency Cystic fibrosis Computational fluid dynamics Canadian Intense Chronic obstructive pulmonary disease Cigarette smoke Cigar