In 2020, major advances to the understanding of gastrointestinal inflammatory and infectious disease have been made using ‘mini-gut’ organoids. Key findings include the discovery of somatic inflammatory gene mutations in ulcerative colitis epithelium, a unique mutational signature in colorectal cancer caused by genotoxic Escherichia coli, and infection of intestinal organoids by SARS-CoV-2.
Key advances
-
Evolution of somatic inflammatory gene mutations targeting IL-17 signalling occurs during chronic tissue inflammation in patients with ulcerative colitis3.
-
A distinct mutational signature caused by exposure to genotoxic colibactin-producing pks+ Escherichia coli is found in a subset of colorectal cancers5.
-
Active SARS-CoV-2 infection and replication is possible in human and bat intestinal organoids7.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Role of S-palmitoylation in digestive system diseases
Cell Death Discovery Open Access 18 July 2025
-
Applications of human organoids in the personalized treatment for digestive diseases
Signal Transduction and Targeted Therapy Open Access 27 September 2022
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$32.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$189.00 per year
only $15.75 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout

References
Sato, T. et al. Single Lgr5 stem cells build crypt-villus structures in vitro without a mesenchymal niche. Nature 459, 262–265 (2009).
Corro, C., Novellasdemunt, L. & Li, V. S. W. A brief history of organoids. Am. J. Physiol. Cell Physiol. 319, C151–C165 (2020).
Nanki, K. et al. Somatic inflammatory gene mutations in human ulcerative colitis epithelium. Nature 577, 254–259 (2020).
Kakiuchi, N. et al. Frequent mutations that converge on the NFKBIZ pathway in ulcerative colitis. Nature 577, 260–265 (2020).
Pleguezuelos-Manzano, C. et al. Mutational signature in colorectal cancer caused by genotoxic pks(+) E. coli. Nature 580, 269–273 (2020).
Lee-Six, H. et al. The landscape of somatic mutation in normal colorectal epithelial cells. Nature 574, 532–537 (2019).
Zhou, J. et al. Infection of bat and human intestinal organoids by SARS-CoV-2. Nat. Med. 26, 1077–1083 (2020).
Lamers, M. M. et al. SARS-CoV-2 productively infects human gut enterocytes. Science 369, 50–54 (2020).
Meran, L. et al. Engineering transplantable jejunal mucosal grafts using patient-derived organoids from children with intestinal failure. Nat. Med. 26, 1593–1601 (2020).
Nikolaev, M. et al. Homeostatic mini-intestines through scaffold-guided organoid morphogenesis. Nature 585, 574–578 (2020).
Acknowledgements
The laboratory of V.S.W.L. is funded by the Francis Crick Institute, which receives its core funding from Cancer Research UK (FC001105), the UK Medical Research Council (FC001105) and the Wellcome Trust (FC001105).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Rights and permissions
About this article
Cite this article
Li, V.S.W. Modelling intestinal inflammation and infection using ‘mini-gut’ organoids. Nat Rev Gastroenterol Hepatol 18, 89–90 (2021). https://doi.org/10.1038/s41575-020-00391-4
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41575-020-00391-4
This article is cited by
-
Role of S-palmitoylation in digestive system diseases
Cell Death Discovery (2025)
-
Applications of human organoids in the personalized treatment for digestive diseases
Signal Transduction and Targeted Therapy (2022)