Loss of DGAT1 results in decreased lipid droplet formation in organoids. (A) Immunofluorescent images of 4′,6-diamidino-2-phenylindole (DAPI) (blue) and LD540 (yellow) staining of organoids from healthy control, DGAT1 mutant patient 8 (P8) and DGAT1KO organoids after 17-hour incubation with vehicle control (BSA), 1 μM OA, or 1 μM OA + 0.1 μM DGAT1 inhibitor (OA+DGAT1i). Representative images of 3 healthy controls, 3 patients (patients 7–9), and 3 CRISPR/Cas9 genome-edited DGAT1-knock-out (DGAT1KO) organoids. (B) Representative histograms of SSC and LD540 staining in organoids from controls, patients, and DGAT1KO organoids as described in (A). Upon OA stimulation, control organoids accumulate lipid droplets and show increased SSC and LD540, which was severely reduced in patient-derived and DGAT1KO cells. Mean fluorescence intensity (MFI) of SSC and LD540 was plotted for n = 3 per group. Statistical analysis was done using a 2-way analysis of variance with Tukey’s multiple comparison test. Mean ± SD is indicated; * P ≤.05, *** P ≤.001.