RT Journal Article SR Electronic T1 NF-κB inhibitor alpha has a cross-variant role during SARS-CoV-2 infection in ACE2-overexpressing human airway organoids JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.08.02.502100 DO 10.1101/2022.08.02.502100 A1 Camille R. Simoneau A1 Pei-Yi Chen A1 Galen K. Xing A1 Mir M. Khalid A1 Nathan L. Meyers A1 Jennifer M. Hayashi A1 Taha Y. Taha A1 Kristoffer E. Leon A1 Tal Ashuach A1 Krystal A. Fontaine A1 Lauren Rodriguez A1 Bastian Joehnk A1 Keith Walcott A1 Sreelakshmi Vasudevan A1 Xiaohui Fang A1 Mazharul Maishan A1 Shawn Schultz A1 Jeroen Roose A1 Michael A. Matthay A1 Anita Sil A1 Mehrdad Arjomandi A1 Nir Yosef A1 Melanie Ott YR 2022 UL http://biorxiv.org/content/early/2022/08/02/2022.08.02.502100.abstract AB As SARS-CoV-2 continues to spread worldwide, tractable primary airway cell models that accurately recapitulate the cell-intrinsic response to arising viral variants are needed. Here we describe an adult stem cell-derived human airway organoid model overexpressing the ACE2 receptor that supports robust viral replication while maintaining 3D architecture and cellular diversity of the airway epithelium. ACE2-OE organoids were infected with SARS-CoV-2 variants and subjected to single-cell RNA-sequencing. NF-κB inhibitor alpha was consistently upregulated in infected epithelial cells, and its mRNA expression positively correlated with infection levels. Confocal microscopy showed more IκBα expression in infected than bystander cells, but found concurrent nuclear translocation of NF-κB that IκBα usually prevents. Overexpressing a nondegradable IκBα mutant reduced NF-κB translocation and increased viral infection. These data demonstrate the functionality of ACE2-OE organoids in SARS-CoV-2 research and identify an incomplete NF-κB feedback loop as a rheostat of viral infection that may promote inflammation and severe disease.Competing Interest StatementThe authors have declared no competing interest.