Emily R. Trunnell, Ph.D.
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ertrunnell.bsky.social
Emily R. Trunnell, Ph.D.
@ertrunnell.bsky.social
neuroscientist 🧠 | Director @ https://www.scienceadvancement.org/ | Moving U.S. biomedical research toward humans & away from other animals | she/her/hers
In their @europeanrespsoc.bsky.social editorial, Metersky & Waterer say it all.

This is why funding & advocacy priorities for pneumonia must shift to human biology-based science. Sign our open letter to put the change into action: www.scienceadvancement.org/open-letter-...

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November 12, 2025 at 8:05 PM
And in @mol-biomed.bsky.social, Li et al. provide “a comprehensive summary of the theoretical foundations, methodological framework, and complete procedures for identification and validation in organoid construction" for respiratory virus research.

link.springer.com/article/10.1...
Organoids in respiratory virus research: advances and perspectives - Molecular Biomedicine
The pandemics of respiratory viruses pose a worldwide public health problem and bio-safety threat. Therefore, the development of high-throughput and accurate infection models is crucial for elucidatin...
link.springer.com
November 12, 2025 at 8:05 PM
Here, Li et al. "outlined advancements in utilizing organoids to elucidate pathogenic infection mechanisms, reveal virus-host interactions and screen therapeutic drugs over the past seven years."

www.sciencedirect.com/science/arti...
Research progress of lung organoids in infectious respiratory diseases
Infectious respiratory diseases are common epidemics that often exhibit phased outbreaks, increasing the healthcare burden. Past research models for t…
www.sciencedirect.com
November 12, 2025 at 8:05 PM
In @asm.org's Journal of Virology, Wang et al. discuss “the diverse applications of organoid models in virology, including infection modeling."

journals.asm.org/doi/10.1128/...
Organoids: physiologically relevant ex vivo models for viral disease research | Journal of Virology
Viral diseases persistently threaten global health systems, causing substantial morbidity, mortality, and socioeconomic burdens. A comprehensive understanding of virus-host interactions is essential f...
journals.asm.org
November 12, 2025 at 8:05 PM
In this review, Alishvandi et al. discusses "the emerging therapeutic strategies of vaccine development, computational drug discovery, and the use of artificial intelligence," for addressing Klebsiella pneumoniae.

www.sciencedirect.com/science/arti...
Decoding virulence and resistance in Klebsiella pneumoniae: Pharmacological insights, immunological dynamics, and in silico therapeutic strategies
Klebsiella pneumoniae (K. pneumoniae) has become a serious global health concern due to its rising virulence and antibiotic resistance. As one of the …
www.sciencedirect.com
November 12, 2025 at 8:05 PM
Researchers from @unipisa.bsky.social explored strategies to treat lung infections and tested them in an in vitro air-liquid interface model of lung infection, "which is considered more physiologically relevant than traditional submerged models."

www.frontiersin.org/journals/mic...
Frontiers | Activity in an air–liquid interface lung infection model, feasibility of inhaled delivery, and stability of cell-free supernatants from Lacticaseibacillus rhamnosus against Pseudomonas aer...
ObjectiveGiven the increasing prevalence of multidrug-resistant pathogens and the diminishing efficacy of conventional antibiotics, this study explores the p...
www.frontiersin.org
November 12, 2025 at 8:05 PM
A preprint from Fonseca, Gobaa, et al. from @pasteur.fr described a novel lung organoid-on-chip model that defined the "differential human tissue response[s] to various strains of respiratory pathogens: Streptococcus pneumoniae and SARS-CoV-2."

www.biorxiv.org/content/10.1...
Modeling viral and bacterial infections in human lung organotypic systems reveals strain specific host responses
In this study, we developed novel lung organoid-on-chip models that elucidate differential human tissue response to various strains of respiratory pathogens: Streptococcus pneumoniae and SARS-CoV-2. W...
www.biorxiv.org
November 12, 2025 at 8:05 PM
Another @cira-ku.bsky.social team developed "human airway-on-chip and alveolus-on-chip models using lung progenitor cells derived from isogenic induced pluripotent stem cells."

In @natbiomedeng.nature.com: www.nature.com/articles/s41...
Isogenic induced-pluripotent-stem-cell-derived airway- and alveolus-on-chip models reveal specific innate immune responses - Nature Biomedical Engineering
Airway-on-chip and alveolus-on-chip models using induced-pluripotent-stem-cell-derived lung progenitor cells show innate immune responses to common viruses.
www.nature.com
November 12, 2025 at 8:05 PM
A team at @cira-ku.bsky.social demonstrated that antiviral monoclonal antibodies could block infection in hiPSC–derived respiratory #organoids, validating the model’s responsiveness.

In @lsajournal.org: www.life-science-alliance.org/content/8/7/...
Human iPS cell–derived respiratory organoids as a model for respiratory syncytial virus infection
Respiratory syncytial virus (RSV) is a seasonal respiratory pathogen that primarily affects young children, potentially causing severe lower respiratory tract disease. Despite the high disease burden,...
www.life-science-alliance.org
November 12, 2025 at 8:05 PM
Zhu et al. compared characteristics & immune responses between paired human nasal & bronchial epithelial organoids & found that both models correctly mimicked the biological characteristics of upper respiratory epithelial cells.

link.springer.com/article/10.1...
Comparison of characteristics and immune responses between paired human nasal and bronchial epithelial organoids - Cell & Bioscience
Background The nasal epithelium, as part of a continuous and integrated airway epithelium, provides a more accessible sample source than the bronchial epithelium. However, the similarities and differe...
link.springer.com
November 12, 2025 at 8:05 PM
PneumoFusion-Net is an #AI diagnostic model that integrates human clinical data like patient records & radiology reports. In a dataset of 10,095 pneumonia cases, the model was 98.96% accurate in distinguishing bacterial vs. viral pneumonia.

www.frontiersin.org/journals/phy...
Frontiers | A multi-modal deep learning solution for precise pneumonia diagnosis: the PneumoFusion-Net model
BackgroundPneumonia is considered one of the most important causes of morbidity and mortality in the world. Bacterial and viral pneumonia share many similar ...
www.frontiersin.org
November 12, 2025 at 8:05 PM
In @dmmjournal.bsky.social, @michaelshiloh.bsky.social & colleagues demonstrated how a humanized, 3D alveolus lung-on-a-chip "can identify critical early immune & epithelial responses to M. fortuitum," with a potential application for pneumonia research. journals.biologists.com/dmm/article/...
An alveolus lung-on-a-chip model of Mycobacterium fortuitum lung infection
Summary: A humanized lung-on-a-chip model reveals early immune responses to Mycobacterium fortuitum infection, offering new insights into non-tuberculous mycobacteria pathogenesis relevant for drug di...
journals.biologists.com
November 12, 2025 at 8:05 PM
At @ciilofficiel.bsky.social, @jcsirard.bsky.social et al. used Epithelix's MucilAir™ air-liquid interface model to expose respiratory epithelial cells to pneumonia bacteria. They showed that a bacterial protein could activate a robust, protective immune response.

www.biorxiv.org/content/10.1...
Flagellin-mediated TLR5 activation enhances innate immune responses in healthy and diseased human airway epithelium
Bacterial pneumonia poses a significant challenge to public health, often leading to antibiotic treatment failure. Enhancing innate immunity represents a promising adjunctive strategy to conventional ...
www.biorxiv.org
November 12, 2025 at 8:05 PM
Pneumonia research has the potential to save millions & improve life for at-risk groups, but only if based in human biology.

That’s why we’re celebrating the scientists leading a shift toward human-based #pneumonia research. 👇👇
November 12, 2025 at 8:05 PM
🧓 Pneumonia outcomes in humans are influenced by comorbid conditions and aging. In contrast, animals used in experiments are often young and healthy, with no chronic diseases or prior medical treatments. Attempts to use “aged” mice also fail to replicate human multimorbidity.
November 12, 2025 at 8:05 PM
🐁 Species-specific differences. Comparative studies show poor correlation between mouse and human immune responses to infection and inflammation. Animals kept in laboratories are mostly pathogen-free, and even wild mice have vastly different immune baselines than those bred for experiments.
November 12, 2025 at 8:05 PM
🦠 Lack of realistic disease progression. Human pneumonia develops gradually (colonization, inflammation, then illness) with immune response prior to symptoms. Animal models compress this to hours and often treat infection early, unlike in humans where therapy starts 24–48 hours after onset.
November 12, 2025 at 8:05 PM
The authors list these as the main reasons why animal models of pneumonia fail:

💉 Animals don’t naturally get pneumonia in labs, so researchers infect them with a single organism culture, bypassing the human process involving mixed microbes over days, leading to very different immune responses.
November 12, 2025 at 8:05 PM
Metersky & Waterer: "Without exception, all of the changes [to pneumonia treatment] since 1987 have come from insights generated by clinical studies, not laboratory experiments on animals,” which "have not translated into any viable clinical treatment."

publications.ersnet.org/content/erj/...
Can animal models really teach us anything about pneumonia? Con
In their 1987 community-acquired pneumonia (CAP) guidelines, the British Thoracic Society recommended amoxicillin with or without erythromycin (or tetracycline) in all admitted patients, with the coverage for Legionella being mandatory in seriously ill patients [1]. They also recommended intravenous flucloxacillin when Staphylococcus aureus was suspected and gentamicin or ceftazidime if a Gram-negative agent was suspected. This guideline, now more than 30 years old, also emphasised the need to identify critically ill patients based on objective physiological criteria so they could receive intensive care support, recommended obtaining culture specimens when possible and stated that antibiotics should be started immediately upon diagnosis. All of these 1987 recommendations were based on clinical studies on the aetiology of pneumonia, analysis of the predictors of outcome from pneumonia from clinical studies and a series of observational studies comparing outcomes of different antibiotic regimens in the prior three decades.
publications.ersnet.org
November 12, 2025 at 8:05 PM
🧑‍⚕️ Xenotransplantation is a less just solution to the organ crisis than alternatives like investment in prevention medicine.

🖨️ Xenotransplantation should not be allowed to crowd out research for more ethical solutions to the organ shortage, such as #bioprinted organs.
November 11, 2025 at 2:54 PM
💲 Compared to xenotransplantation, lower-cost solutions can be more efficient and avoid harmful exploitation.

🔒 Raising pigs in “biosecure” environments deprives them of natural behaviors and socialization.
November 11, 2025 at 2:54 PM