TY - JOUR A1 - Koster, Stefanie A1 - Gurumurthy, Rajendra Kumar A1 - Kumar, Naveen A1 - Prakash, Pon Ganish A1 - Dhanraj, Jayabhuvaneshwari A1 - Bayer, Sofia A1 - Berger, Hilmar A1 - Kurian, Shilpa Mary A1 - Drabkina, Marina A1 - Mollenkopf, Hans-Joachim A1 - Goosmann, Christian A1 - Brinkmann, Volker A1 - Nagel, Zachary A1 - Mangler, Mandy A1 - Meyer, Thomas F. A1 - Chumduri, Cindrilla T1 - Modelling Chlamydia and HPV co-infection in patient-derived ectocervix organoids reveals distinct cellular reprogramming JF - Nature Communications N2 - Coinfections with pathogenic microbes continually confront cervical mucosa, yet their implications in pathogenesis remain unclear. Lack of in-vitro models recapitulating cervical epithelium has been a bottleneck to study coinfections. Using patient-derived ectocervical organoids, we systematically modeled individual and coinfection dynamics of Human papillomavirus (HPV)16 E6E7 and Chlamydia, associated with carcinogenesis. The ectocervical stem cells were genetically manipulated to introduce E6E7 oncogenes to mimic HPV16 integration. Organoids from these stem cells develop the characteristics of precancerous lesions while retaining the self-renewal capacity and organize into mature stratified epithelium similar to healthy organoids. HPV16 E6E7 interferes with Chlamydia development and induces persistence. Unique transcriptional and post-translational responses induced by Chlamydia and HPV lead to distinct reprogramming of host cell processes. Strikingly, Chlamydia impedes HPV-induced mechanisms that maintain cellular and genome integrity, including mismatch repair in the stem cells. Together, our study employing organoids demonstrates the hazard of multiple infections and the unique cellular microenvironment they create, potentially contributing to neoplastic progression. KW - Chlamydia KW - HPV KW - cellular reprogramming Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-301349 VL - 13 IS - 1 ER -