TY - JOUR KW - Gastrointestinal system KW - Stem-cell differentiation KW - Tissue engineering AU - Holly M. Poling AU - Théo Noël AU - Akaljot Singh AU - Garrett W. Fisher AU - Konrad Thorner AU - Praneet Chaturvedi AU - Kalpana Nattamai AU - Kalpana Srivastava AU - Matthew R. Batie AU - Taylor Hausfeld AU - Amy L. Pitstick AU - Nicole E. Brown AU - Séverine Ménoret AU - Ignacio Anegon AU - Riccardo Barrile AU - Christopher N. Mayhew AU - Takanori Takebe AU - James M. Wells AU - Michael A. Helmrath AU - Maxime M. Mahe AB - Key limitations of current human gastrointestinal organoids include incomplete physiological maturation and the need for complex, time-consuming assembloid approaches to integrate a functional nervous system for transplantation. Here we present a confined culture system (CCS) method that generates large-scale, elongated and functional human small intestinal, colonic and gastric tissues with a de novo enteric nervous system (ENS). We use a 3D-printed scaffolding tray to restrict spheroid fusion and growth, promoting the spontaneous co-development of a functional ENS. Transcriptomic and electrophysiological data demonstrate selective neuromuscular function and the presence of excitatory and inhibitory neurons within the tissues. When compared to traditional methods, the CCS expedites tissue maturation for transplantation, yielding organoids that are up to ten times larger, reaching widths of 8 cm after 10 weeks, and exhibit enhanced engraftment rate. CCS organoids integrate and adapt to murine luminal environment while maintaining barrier integrity and functional capacity. The CCS methodology simplifies current protocols while accelerating the production of complex, functional and clinically relevant gut tissues. BT - Nature Biomedical Engineering DA - 2026-05-22 DO - 10.1038/s41551-026-01688-6 LA - en N2 - Key limitations of current human gastrointestinal organoids include incomplete physiological maturation and the need for complex, time-consuming assembloid approaches to integrate a functional nervous system for transplantation. Here we present a confined culture system (CCS) method that generates large-scale, elongated and functional human small intestinal, colonic and gastric tissues with a de novo enteric nervous system (ENS). We use a 3D-printed scaffolding tray to restrict spheroid fusion and growth, promoting the spontaneous co-development of a functional ENS. Transcriptomic and electrophysiological data demonstrate selective neuromuscular function and the presence of excitatory and inhibitory neurons within the tissues. When compared to traditional methods, the CCS expedites tissue maturation for transplantation, yielding organoids that are up to ten times larger, reaching widths of 8 cm after 10 weeks, and exhibit enhanced engraftment rate. CCS organoids integrate and adapt to murine luminal environment while maintaining barrier integrity and functional capacity. The CCS methodology simplifies current protocols while accelerating the production of complex, functional and clinically relevant gut tissues. PY - 2026 SP - 1 EP - 17 T2 - Nature Biomedical Engineering TI - Large-scale and innervated functional human gut tissues for transplantation via transient spheroid confinement UR - https://www.nature.com/articles/s41551-026-01688-6 Y2 - 2026-05-22 SN - 2157-846X ER -