The gut contractile organoid: a novel model for studying the gut motility regulated by coordinating signals between interstitial cells of Cajal and smooth muscles

The gut undergoes peristaltic movements regulated by intricate cellular interactions. However, they have poorly been explored due to a lack of model system. We here developed a novel contractile organoid that is derived from the muscle layer of chicken embryonic hindgut. The organoid contained smooth muscle cells (SMCs) and interstitial cells of Cajal (ICCs; pacemaker) with few enteric neurons, and underwent periodic contractions. The organoid formed by self-organization with morphological arrangements of ICCs (internal) and SMCs (peripheral), allowing identification of these cells in live. GCaMP-Ca²⁺imaging analyses revealed that Ca²⁺transients between ICC- ICC, SMC-SMC or SMC-ICC were markedly coordinated. Pharmacological studies further showed that gap junctions play a role in ICC-to-SMC signaling, and also possible feedback from SMC’s contraction to ICC’s pace-making activities. In addition, two organoids with different rhythm became synchronized when mediated by SMCs, unveiling a novel contribution of SMCs to ICC’s pace-making. The gut contractile organoid developed in this study offers a useful model to understand the mechanisms underlying the rhythm coordination between/among ICCs and SMCs during gut peristaltic movements.