Organoid culture media formulated with growth factors of defined cellular activity

The media formulations necessary for deriving and sustaining organoids from epithelial tissues such as prostate, colon, gastric, liver, pancreas, and others have been established. Critical components of organoid media are a set of growth factors that include R-spondins and BMP signalling antagonists such as Noggin or Gremlin 1. Currently, the practical limitations for formulating organoid media of reproducible potency and larger-scale media production that have hampered further technological applications of organoid technology include: the cost of growth factors such as R-spondins and Gremlin 1/Noggin and their production as defined specific activities free of contaminants that may affect organoid growth. Here we report the production of highly pure recombinant Gremlin 1 and R-spondin 1 from bacterial expression for use in organoid media. We detail the workflow for Gremlin 1 and R-spondin 1 expression, purification, quantification of cellular activity, quality control and use in media formulated for culturing organoids derived from a number of tissues. The development of precisely formulated, cost-effective media of defined specific activity will engender the development of novel applications for organoid technology.

. Overview of the procedure. The generation of recombinant R-spondin 1 and Gremlin and subsequent characterisation steps for use in organoid media are as follows: Step I -Recombinant growth factors R-spondin 1 and Gremlin 1 are expressed in bacteria and purified.
Step II -Cellular activities of Gremlin 1 and R-spondin 1 were determined from corresponding reporter assays.
Step III -A quality control step is used to ensure minimum endotoxin levels (from growth factor expressing bacteria) are present in the preparations using the limulus amoeboid lysate (LAL) assay.
Step IV -media formulated with defined activities of R-spondin 1 and Gremlin 1 is tested for the ability to support growth of murine intestinal epithelial organoids. We have further outlined abridged purification protocols for Gremlin 1 and R-spondin 1 in Materials and Methods, ideally suited to laboratories without access to production-scale chromatography equipment, for production of MBP-R-spondin 1 and Gremlin 1 of sufficient purity and cellular activity for organoid culture.
www.nature.com/scientificreports www.nature.com/scientificreports/ Production of Gremlin 1. The vector for bacterial expression of recombinant human Gremlin 1 (His-ΔN-Gremlin 1; Fig. 3A) and the purification procedure has previously been described 4 . Bacterially-expressed recombinant Gremlin 1 associates with inclusion bodies requiring suspension of the protein under denaturing conditions and a refolding/disulphide shuffling step for generation of natively-folded protein. Subsequent anion exchange chromatography leads to an essentially pure preparation of Gremlin 1 that can be used in organoid media formulations at a concentration of 25 nM.
A final reverse phase chromatography step resolves a highly pure fraction of Gremlin 1 shown by a single band on SDS-PAGE migrating at the expected molecular mass of 14 kDa (Fig. 3B). By contrast, the 30 kDa commercially-sourced Gremlin 1 (CS-Gremlin 1) protein, consisting of amino acids 25-284, migrates as two bands on SDS-PAGE gels, at 27 kDa and 30 kDa (Fig. 3B). The reduced mobility and diffuseness of CS-Gremlin 1 migration is typical of glycosylated proteins derived from eukaryotic expression systems. We calculated CS-Gremlin 1 cellular activity assuming a single protein species with a molecular mass of 30 kDa.
The cellular activity of bacterially-derived Gremlin 1 is measured as the IC 50 for the inhibition of BMP2-induced ALP activity in C2C12 cells. We first assayed BMP2 ALP activity and determined an EC 50 value circles -MBP-R-spondin 1 before SEC, WPC50 = 45 ± 9.9 nM, diamonds -MBP-R-spondin 1 after SEC, WPC50 = 4.0 ± 0.53 nM and squares -final R-spondin 1 preparation, WPC50 = 4.5 ± 0.80 nM. (D) Cellular activities of MBP-R-spondin 1 and CS-R-spondin 1 measured as WPC50s: circles -MBP-R-spondin 1 after SEC, squares -CS-R-spondin 1, WPC50 = 1.2 ± 0.69 nM. To delineate between the MBP-R-spondin 1 and CS-Rspondin 1 dose-response data sets, we have limited presentation of the results to protein concentrations up to 50 nM. www.nature.com/scientificreports www.nature.com/scientificreports/ of 5.8 ± 0.28 with a saturating concentration of approximately 12 nM BMP2 (Fig. 3C). A sub-saturating value of 8 nM BMP2 was chosen for Gremlin 1 assays (Fig. 3C). The IC 50 value for bacterially-expressed Gremlin 1 is 6.4 ± 0.65 nM, comparable to the IC 50 value for CS-Gremlin of 6.0 ± 0.33 nM ( Fig. 3C   www.nature.com/scientificreports www.nature.com/scientificreports/ for Gremlin 1 preparations are approximately 250-fold lower that the LOCE threshold (Table 1). A typical yield of pure Gremlin 1 is approximately 10 mg per L of 2-YT broth culture. For the culture of small intestinal epithelial organoids, 10 mg of Gremlin 1 is sufficient for approximately 30 L of media at a concentration of 25 nM. For the production of Gremlin 1 we estimate a time commitment of two days and material cost of <£10 per litre of organoid media (Table 1). Typically, the cost for one litre of organoid media containing CS-Gremlin 1 at a concentration of 25 nM is >£3,500.

Protein
Use of R-spondin 1 and Gremlin 1 in organoid media formulation. We compared the ability of bacterially-derived R-spondin 1 and Gremlin 1 with the corresponding commercially-sourced growth factors, CS-R-spondin 1 and CS-Gremlin 1 to sustain growth of murine small intestinal epithelial organoids. We found no significant differences equal to or below a threshold value of p < 0.01 for activity measurements comparing R-spondin 1 and CS-R-spondin; both were sufficient, at a minimum concentration of 5 nM, to support the growth of organoid cultures (Fig. 4A). We analysed crypt multiplicity in organoids as a more sensitive probe of R-spondin 1 activity. The addition of bacterially-derived R-spondin 1 or CS-R-spondin 1 to organoid media resulted in a similar number of crypts per organoid after 8 days of growth (Fig. 4B). There was no statistically significant differences in crypt multiplicity amongst the R-spondin 1 treatment groups. Similar results were obtained for CS-R-spondin 1, except that treatment of organoids with 50 nM of the protein led to a significantly higher crypt multiplicity than with 5 nM, but not with 25 nM (Fig. 4B). We routinely use 25 nM R-spondin 1 in organoid culture media.
The addition of Gremlin 1 to organoid media is not strictly required for growth; we find that media formulations that lack Gremlin 1 and other BMP signalling inhibitors (such as Noggin) can sustain growth of murine intestinal epithelial organoids for up to 2-3 passages as previously described 5 . Gremlin 1 or CS-Gremlin 1 have similar activities in organoid media and at 10 nM either protein sustains organoid culture (Fig. 4C). Analysis of crypt multiplicity after 8 days growth indicates that minimum concentrations of 10 nM Gremlin 1 or 25 nM CS-Gremlin 1 yield the maximum number of crypts per organoid (Fig. 4D,E). We routinely use 25 nM of Gremlin 1 in organoid media formulations, sufficient for sustaining growth for at least 20 serial passages.
We then compared the cellular localisation of selected molecular markers within the epithelial monolayer of organoids culture in media containing either bacterially-derived or commercially-sourced R-spondin 1 and Gremlin 1 (Fig. 4F). We did not detect differences in the cellular localisation or distribution of the following molecular probes: UEA, phalloidin, DAPI and antibodies raised against β-catenin or the Ki67 antigen.

Application of the protocol to organoids from other tissues.
To test the general applicability of the bacterially-derived growth factors to support organoid growth, we cultured organoids derived from a number of tissues types in corresponding media formulations ( Table 2). These included murine tissues including colon epithelia, APC min/− small intestinal tumours and mammary gland ( Fig. 5A-C) as well as organoids derived from clinical biopsies of human colon epithelia and patient-matched colon cancer tumours (Fig. 5D).
In all cases except for the human biopsy-derived colon epithelial organoids, the derived cultures were expanded a minimum of four passages and frozen for long-term storage in liquid nitrogen. Organoids were thawed, re-cultured and passaged prior to imaging ( Fig. 5A-D). Human colon epithelial organoids were derived from clinical biopsies and passaged 4 times prior to imaging -we find that growth rates and recovery rates after a freeze-thaw cycle for these organoids are low, preventing efficient expansion of the cultures. Media containing bacterially-expressed R-spondin 1 and Gremlin 1 supports the growth of all other types of organoids for greater than 20 serial passages.

Discussion
Organoid culture, although still being refined for some epithelial tissues, has become a widely-used research tool. Current implementation of organoid technology has graduated from proof-in-principle studies to hypothesis testing in the field of epithelial physiology, stem cell homeostasis, the molecular underpinnings of genetic diseases such as cancer 1 and cystic fibrosis 6 , recapitulation of epithelial and tumour microenvironments 7 and host-virus interactions 8 . We report here the production of known activities of Gremlin 1 and R-spondin 1 derived from bacterial expression for use in organoid media. We demonstrate that bacterially-derived R-spondin 1 and Gremlin 1 are comparable to the commercially-sourced growth factors in terms of cellular activities. Importantly, we do not detect differences in organoid growth parameters or more even subtle differences in molecular marker localisation within the organoid epithelia with culture in media formulated with bacterially-derived or commercially-sourced growth factors. We further demonstrate the ability of media formulations containing bacterially-derived R-spondin 1 and Gremlin 1 to sustain the growth of organoids derived from a number of tissue types such as murine colon, mammary gland and APC min/− small intestinal tumours and human colon epithelial and colon adenocarcinoma biopsies.
The production of bacterially-derived R-spondin 1 and Gremlin 1 using our protocols has major advantages over conventional sources of the growth factors derived from conditioned media or commercial sources: (i) the R-spondin 1 and Gremlin 1 preparations are highly pure and devoid of impurities such as serum growth factors that may impact organoid growth; (ii) the use of precise cellular activities of the growth factors in organoid media minimises batch-to-batch variation; and (iii) a substantial reduction in cost of organoid culturing. The protocol for generation of media containing recombinant R-spondin 1 and Gremlin 1 is therefore a leap forward in the ability to generate reproducible growth conditions for both routine organoid culture and large-scale applications such as genetic and chemical screens or clinical tissue biobanking previously reported for limited sample sets of colon cancers 1,2 . We have further demonstrated the application of bacterially-derived growth factors to the culture of organoids derived from a range of tissues including murine small intestine and colon epithelia, mammary Media formulated with R-spondin 1 or CS-R-spondin 1 equally sustains growth of murine small intestinal epithelial organoids at a minimal concentration of 5 nM. Organoid multiplicity was determined as the average count of organoids that grew under each treatment condition averaged across 8 biological replicates. There were no significant differences in organoid multiplicity between the treatment concentrations. No organoid growth was observed in the absence of R-spondin 1 or CS-R-spondin 1. (B) Crypt multiplicity per organoid when grown for 8 days in media supplemented with either R-spondin 1 or CS-R-spondin 1 determined as the average crypt count for 10 organoids with each treatment condition, averaged across 8 biological replicates. There was no significant difference in crypt multiplicity amongst R-spondin 1 treatments. For CS-Rspondin 1, *indicates significant difference in crypt multiplicity between concentrations of 50 nM and 5 nM at p < 0.01, No organoid growth was observed in the absence of R-spondin 1 or CS-R-Spondin 1. (C) Gremlin 1-or CS-Gremlin 1-supplemented media equally sustains maximal organoid growth at a minimum concentration of 10 nM. Organoid multiplicity was determined as the average count of organoids that grew under each treatment condition averaged across 8 biological replicates. *Significant difference in organoid multiplicity between 0 nM and 10 nM treatment groups, p < 0.01. Note that Gremlin 1 is not strictly required in growth media as some organoid growth is maintained in its absence. www.nature.com/scientificreports www.nature.com/scientificreports/ gland and human colon epithelia and colon cancer biopsies. We envision that the use of organoid media formulations with defined cellular activities of growth factors will spur the emergence of new applications for organoids that, in particular, require large-scale, cost-effective culture.
One caveat in the implementation of our protocols is the requirement for an animal cell-derived surrogate extracellular matrix. Currently, supports such as Matrigel, produced from Engelbreth-Holm-Swarm mouse sarcoma cells, and may contain serum impurities that impact organoid growth. However, synthetic matrices have emerged in the literature and show substantial promise for supporting organoid growth 9 . Further development of synthetic matrices and their use in conjunction with our protocols will ultimately lead to a fully-defined organoid culture system.

Materials and Methods
expression plasmids. The pR-spondin 1 construct for production of R-spondin 1 is based on a previously reported pETDuet-based vector 10 for dual expression of a R-spondin 1-containing fusion protein (maltose binding protein, a tetra-cysteine tag, a thrombin cleavage site, residues 21-145 of human R-spondin 1 (Uniprot: O60565) and a hexa-histidine tag) and the E. coli disulphide bond isomerase, DsbC. We have inserted the coding sequence of the Avi-tag upstream of the R-spondin 1 transgene by digestion of the original construct with BamHI and NotI and Gibson assembly to create pR-spondin 1 ( Fig. 2A).
Plasmids for testing R-spondin 1 activity in the potentiation of Wnt pathway activity are the Super 8x TOPFlash (SuperTop; Addgene 12456) and the Renilla Luciferase control reporter vector pRL-SV40P (Promega).

Expression and purification of R-spondin 1. Expression of the R-spondin 1 fusion protein from
pR-spondin 1 was carried out in the host E. coli strain SHuffle ® T7 E. coli/K12, following a protocol from the Pioszak laboratory 10 . An overnight starter culture was used to inoculate 2 × 1 L of Luria Broth (LB) media in 2 L baffled Erlenmeyer flasks and grown to an OD 600 of 0.7 with shaking at 200 rpm. Flasks were transferred to a 16 °C shaker and expression was induced for 16 hours with 0.4 mM isopropyl β-D-1-thiogalactopyranoside (IPTG). Unless otherwise noted, all subsequent steps were carried out at 4 °C. Cells were harvested by centrifugation at 4000 × g for 10 minutes and the pellet was resuspended in 10 ml of resuspension buffer (50 mM Tris-HCl pH 7.5 containing 150 mM NaCl and 10% glycerol, protease inhibitor cocktail; Roche) per 1 L culture. Cells were lysed in an Avestin EmulsiFlex C5 homogeniser and lysates were clarified by centrifugation at 48,000 g for 30 min. The supernatant was transferred to a 50 ml conical tube containing 2 ml of a 50% slurry of Ni 2+ -agarose pre-equilibrated with resuspension buffer and absorption of MBP-R-spondin 1 to Ni 2+ -agarose was carried out for 1 h with gentle agitation. Lysate and Ni 2+ -agarose beads were transferred to a 14 cm Econo-Pac column (Bio-Rad), washed thrice with 10 ml of resuspension buffer containing 25 mM imidazole and MBP-R-spondin 1 was eluted in 1 ml fractions of resuspension buffer containing 265 mM imidazole.
Eluted fractions containing MBP-R-spondin 1 were pooled and concentrated using an Amicon Ultra-15 centrifuge filter (Millipore). Buffer exchange into disulphide reshuffling buffer (50 mM Tris base, pH 8.0 containing 150 mM NaCl, 5% glycerol, 1 mM EDTA, 5 mM reduced glutathione and 1 mM oxidized glutathione) was carried out using a PD10 Sephadex G25 desalting column (GE Healthcare). The concentration of the pooled fractions was diluted to 1 mg/ml with disulphide reshuffling buffer and incubated for 12 hours at room temperature. The reshuffled protein was injected onto a HiLoad Superdex 200 pg 16/600 column (GE Healthcare) equilibrated in resuspension buffer and resolved fractions containing MBP-R-spondin 1 (identified by SDS-PAGE) were pooled and concentrated using an Amicon Ultra-14 centrifuge filter. Buffer exchange was carried out using a PD10 Sephadex G25 desalting treatment groups and the the 5 nM Gremlin 1 treatment group at p < 0.01 and p < 0.001, respectively. There were no significant differences in crypt multiplicity amongst 10, 25 and 50 nM Gremlin 1 or CS-Gremlin treatment groups. (F) Comparison of molecular markers in organoids grown in bacterially-derived (top panels) and commercially-sourced growth factors (lower panels). Left panels -detection of secretory cells and F-actin using Rhodamine-conjugated UEA and Alexa Fluor 647-conjugated Phalloidin. Middle panels -indirect immune-fluorescent detection of β-catenin. Right panels -indirect immune-fluorescent detection of Ki67.
www.nature.com/scientificreports www.nature.com/scientificreports/ column (GE Healthcare) equilibrated in IEX buffer (50 mM Na 2+ /K + phosphate buffer pH 7.0 containing 5% glycerol). At this stage, MBP-R-spondin 1 fusion protein can be analysed to determine concentration (using the Bradford protein assay; Bio-Rad) and used in organoid growth media at a concentration of 25 nM (see Results).
MBP-R-spondin 1 was incubated with 5 U of Thrombin (Sigma) per mg protein for 8 hours at room temperature and the cleaved R-spondin 1 moiety was resolved using cation exchange chromatography (IEX) with a HiTrap SP HP 5 ml column on an AKTA Purifier equilibrated in IEX buffer (15 mM sodium phosphate buffer containing 5% glycerol) with a linear gradient to 1 M NaCl in IEX buffer. R-spondin 1-containing fractions (identified by SDS-PAGE) were pooled, concentrated and buffer exchanged using a PD10 Sephadex column equilibrated in phosphate buffered saline (PBS). The cellular activity of purified R-spondin 1 was determined by Wnt pathway reporter assay (see below).
Expression and purification of Gremlin 1. Human Gremlin 1 was expressed from a T7-based His-tag vector, His-ΔN-Gremlin 1 (encoding amino acids 72-184 of Gremlin 1), in the E. coli strain BL21 (DE3) as follows: cells from glycerol stock were plated on L-agar plates with 100 μg/ml of ampicillin and grown overnight. Cells from the plates were grown in baffled 2 L flasks in 1 L of 2xYT media until an OD 600 of 0.8 at which point Gremlin 1 expression was induced with 400 μg/ml IPTG for three hours at 37 °C. Cells were harvested by centrifugation for 20 minutes at 4,000 × g and stored frozen at −20 C. The frozen pellet from 1 L of Gremlin 1 expressing culture was resuspended in lysis buffer (50 mM Tris base pH 8.0, 2 mM EDTA pH 8.0, 10 mM DTT, 0.5% Triton-X100) and lysed using an Emulsiflex C5 homogeniser. The lysate was incubated for 20 minutes at 25 °C with DNase I (Sigma) and 4 mM magnesium chloride and clarified by centrifugation for 30 minutes at 15,000 × g. The supernatant was discarded and the pellet fraction containing insoluble inclusion bodies was washed by resuspension in lysis buffer followed by centrifugation for 30 minutes at 15,000 × g. The pellet was re-washed with lysis buffer containing 1 M NaCl and finally with lysis buffer without Triton-X100. The pellet was resuspended in 5 ml of 100 mM Tris  www.nature.com/scientificreports www.nature.com/scientificreports/ After centrifugation (15,000 × g for 30 mins), the pH of the refolded protein solution was adjusted to 7.0 and loaded onto a 5 ml HiTrap SP HP column equilibrated with binding buffer (20 mM Hepes, pH 7.0). Gremlin 1 was eluted using a linear, 75 ml gradient, of 0% to 100% elution buffer (20 mM Hepes, pH 7.0, 1 M NaCl) and peak fractions, analysed by SDS-PAGE, were pooled. At this stage of the purification, Gremlin 1 can be used in small intestinal epithelial organoid media at a concentration of 25 nM.
Further purification of Gremlin 1 proceeds with the addition of acetonitrile and trifluoroacetic acid to a concentration of 10% and 0.1%, respectively. The sample was loaded onto an ACE 5 C8-300 (4.6 × 250 mm) reversed phase column (HiChrom) equilibrated with binding buffer (10% ACN, 0.1% TFA). Proteins were eluted with a linear 20 ml gradient of 20% to 40% ACN containing 0.1% TFA. Peak fractions with pure protein (analysed by SDS-PAGE) were pooled and their concentration determined using absorbance at 280 nm with a calculated molar absorption coefficient of 11,460 mol −1 ·cm −1 . Aliquots of 500 μg pure Gremlin 1 were dried under vacuum in a centrifugal concentrator and stored at −80 °C. The protein is stable for at least 24 months when stored in this way. Prior to use, purified Gremlin 1 was reconstituted in PBS at a concentration of 1 mg/ml and cellular activity determined by alkaline phosphatase assay (see below). Cellular reporter assay of R-spondin 1 activity. The cellular activities of MBP-R-spondin and R-spondin Cellular Gremlin 1 activity. The cellular activity of purified Gremlin 1 is defined as the IC 50 for inhibition of BMP2-induced cellular activity using the alkaline phosphatase assay (ALP assay) 12 . Optimal concentration of BMP2 for use in Gremlin 1 activity assays was determined as follows: C2C12 cells (low passage number is critical) were plated into 96-well plates and cultured in DMEM containing 10% FBS. A serial dilution of BMP2 (0 nM-15 nM) was added to the cells and incubated for 48 hrs. Cells were washed with PBS and lysed in 0.56 mM 2-amino-2-methyl-propan-1-ol and 1.0% SDS, pH 10.0. ALP activity was measured using the substrate p-nitrophenyl phosphate (Sigmafast pNPP pellets; Sigma Aldrich) and absorbance read at 405 nm using a PHERAstar FS plate reader. The EC 50 value for BMP2-induced ALP activity was determined as 5.8 ± 0.28 nM with saturating activity at approximately 12 nM. Activity values for each concentration of BMP2 were the average of 3 individual experimental replicates reported with SD. The sub-maximal value of 8 nM BMP2 was chosen for use in Gremlin 1 activity assays.
Determination of the Gremlin 1 IC 50 for inhibition of BMP2-induced ALP activity was carried out as above, using serial dilutions of Gremlin 1 (1-25 nM) in the presence of 8 nM BMP2. Activity values for each concentration of Gremlin 1 were the average of 4 individual experimental replicates reported with SD. All kinetic parameters for ALP assays were calculated using GraphPad Prism Software Version 5 by fitting the Hill equation to the dose-response data. endotoxin assay. Levels of endotoxin in the R-spondin 1 and Gremlin 1 preparations was determined using the ToxinSensor system (GenScript) according to manufacturer's protocol. Values were determined from at least two individual preparations of R-spondin 1 and Gremlin 1 fractions, measured with two technical replicates and reported as average values with SD. We have set a maximum endotoxin concentration of 0.5 EU/ml in organoid media, below the Lowest Observed Cellular Effect (LOCE) threshold for detectable cellular cytokine production and NF-kB activation, previously determined in cell culture assays 13 . Derivation of organoid cultures. Murine small intestinal epithelial organoids and colon epithelial organoids (murine and human) were derived according to Sato et al. 14 and Sato et al. 15 , respectively. Murine mammary gland organoids were derived as in Nguyen-Ngoc et al. 16 . A summary of all media formulations used in the study is shown in Table 2. All derived organoid cultures were grown in 48-well CellStar plates (Sigma-Aldrich), embedded in a 25 μL droplet of Matrigel (Corning), cultured in 200 μL of the corresponding organoid media in an incubator at 37 °C and 5% CO 2 .
All murine tissue used in the study was collected from euthanized mice by trained technicians within the Wellcome Trust Gurdon Institute facility, following UK Home Office approved guidelines. Human colon epithelialand colon cancer-derived organoids were from the Addenbrooke's Hospital Tissue Biobank donated under informed, explicit, patient consent. Human tissue obtained for the study was under generic Biobank ethical approval and all applicable institutional guidelines and regulations regarding the use of human tissue were followed.
Optimisation of R-spondin 1 and Gremlin 1 concentration in media formulations. Optimisation of R-spondin 1 and Gremlin 1 concentrations for use in media for culture of murine small intestinal epithelial organoids were determined by growing organoids in individual wells with variable concentrations of R-spondin 1 (0-100 nM) or Gremlin 1 (0-25 nM) in otherwise fully-supplemented organoid growth media. Growth characteristics (multiplicity and crypt number) of organoids were tested 8 days post-plating. Organoid multiplicity was determined as the average organoid count for each treatment from 8 different wells, reported with SD. Organoid crypt (2019) 9:6193 | https://doi.org/10.1038/s41598-019-42604-0 www.nature.com/scientificreports www.nature.com/scientificreports/ number was determined as the average number of crypts from 10 organoids in individual wells, averaged across 8 wells, reported with SD. Statistical differences in organoid multiplicity and crypt number amongst the individual concentrations and growth media conditions were determined by two-tailed T-test, calculated using Excel software.

Fluorescent detection of molecular markers in organoids.
Organoids were seeded and cultured in eight-chamber μ-slides (Thistle Scientific) for three days and fixed in 4% formaldehyde solution and molecular markers were visualised following the protocol from Fatehullah 17 . Molecular probes used for fluorescent detection and indirect immunofluorescence in organoids were as follows: Rhodamine-conjugated Ulex europeaus agglutinin 1 (UEA; Vector Laboratories), Alexa Fluor 647 Phalloidin (Thermo Fisher Scientific), and antibodies raised against β-catenin (BD Transduction Laboratories) or Ki67 (Thermo Fisher Scientific). The secondary antibodies were Goat Anti-Mouse IgG Alexa Fluor 555 and Goat Anti-Rabbit IgG Alexa Fluor 488 (both from BD Transduction Laboratories), respectively. Slides were mounted using DAPI Fluoromount G (Southern Biotech). Fluorescent images were taken by a Zeiss LSM 700 laser scanning confocal microscope using an oil-immersion 40x objective. Images were processed using Zen and ImageJ software.

Data Availability
All data generated throughout the study is available from the corresponding authors.