Organoid modeling identifies that IRE1α signaling mediates the reprogrammed cell state. (A) Schematic for organoid experiments using uninduced SftpcC121G AEC2s and SftpcWT mouse lung fibroblasts with ex vivo induction of the Sftpc mutation using 1 μM 40H-TMX (vehicle = 0.1% EtOH) and treatment with 200 nM OPK-711 or vehicle (0.1% DMSO) for final 96 h of culture. (B) Representative immunostaining of day 14 organoids for SP-C shows presence of proSP-C in 4OH-TMX-treated culture (60× magnification scale bars = 20 μM). (C–G) Sftpc (C), Xbp1 splicing ratio (D), Chop (E), Krt8 (F), and Cldn4 (G) expression measured by qRT-PCR of day 14 organoid culture cells 96 h comparing combined vehicle (0.05% EtOH + 0.1% DMSO) and 4OH-TMX (in 0.05% EtOH) with 0.1% DMSO added to media and 4OH-TMX (0.05% EtOH) + OPK-711 (0.1% DMSO). n = 4 biological replicates. *p < 0.05, **p < 0.005, ***p < 0.0005 by one-way ANOVA with Tukey’s multiple comparisons test.