Organoids Part Two: Despite Limitations, They’re Still Amazing

Clearly one article wasn’t enough to explore the full potential of organoids, so here we go again. This article won’t make much sense without reading the first but a quick catch up:
Organoids are 3D cell structures grown from Stem cell samples and grown in nutrient rich gel.

  • They can better model human systems as they are more complex than their 2D counterparts and a better representation of human systems than animal models.
  • This advantage makes organoids uniquely beneficial to the field of drug research and testing and personalized medicine.
  • Link to original article if desired: https://chargedmagazine.org/2026/04/organoids-what-are-they-and-why-theyre-amazing/

Limitations
These applications are not without limitations however. While organoids can replicate many aspects of human tissue, some specific cell genes are harder to find in organoids (Andrews and Kriegstein, 2022). This impaired the organoids’ ability to properly simulate the systems they are derived from, preventing researchers from properly modeling diseases and treatments in that area.

Additionally, while developments have been made to improve organoid lifespans, organoids still require controlled environments and regular care to survive (Simian and Bissell, 2016). Even the longest lasting organoids, neurological models, have only survived a couple of years. Many organoids will even grow patches of dead tissue in the center due to a lack of oxygen hindering their research capabilities (Andrews & Kriegstein, 2022). In organic systems, cells are constantly interchanging molecules to maintain their functions and prevent necrosis. The nutritional gel can only do so much to get the molecules to cells at the interior of organoid structure without the natural systems to supply it.

All of this causes organoid maintenance to be costly compared to in-vitro models, which are relatively cheap and easy to handle (Schutgens & Clevers, 2020). This stifles research leading to many knowledge gaps in the field. Furthermore, these restrictions limit modeling larger systems. Potential treatments tested in smaller organoids could have unpredictable impacts on a larger system when prescribed. Concerns around this limits applications of organoids, creating Theory-Application Voids.

There are also many population gaps in organoid research as certain demographics are underrepresented in the stem cells used to create the organoids. These stem cells are often pulled from stem cell donor registries which have significant demographic, systemic, and behavioral biases. Further development into organoids and increased diversity in biobanks can increase organoid capabilities and applications.

Concerns
There are also current concerns surrounding organoid research that need to be addressed. While organoid models no longer rely on stem cells taken from embryos, they are still used in organoids modeling traditional embryo frameworks. These models use STEM cells to study the process of early embryonic development and can be very useful in identifying gestation concerns or potential risks to a fetus (Pereira et al., 2020). Once again, the line of when a zygote becomes a person however, gets blurry. Multiple public figures and many private citizens are debating if the creation of an embryo, even as a limited organoid, for study is ethical.

There are also concerns about neurological organoid models used for neurological diseases (Lavazza and Massimini, 2018). Current models can only imitate parts of the human brain. However, as models more closely resemble a human brain with increased functionality, ethical questions surrounding the creation and experimentation of something than can think and feel will only grow. The line being living, sentient, and sapient is hard to discern, especially with limited structures that might not have the ability to communicate mental facilities.

Future implementations of organoid models also raise ethical concerns regarding their financial exploitation and patient consent. People’s cell matter must be collected and added to databases to be used in organoid research (Bredenoord et al., 2017). Active patient involvement in organoid development is essential when considering this process. Their participation in cell donation must remain voluntary and properly compensated, and this is currently not guaranteed.

The implementation of organoids in personalized medicine could also have complications on the healthcare system (Stefanicka-Wojtas & Kurpas, 2023). While organoids could improve personalized medicine, the increased specificity of treatments could lead to decreased procedure lifespans and certainty. The underrepresentation and price of organoid backed research could also exacerbate existing disparities in healthcare and lead to an increase in general healthcare costs or dropped plans due to cost-shifting (What’s Behind Rising Health Insurance Costs? | Johns Hopkins Bloomberg School of Public Health, 2025).

Scientists in organoid research have repeatedly advocated for remaining cautious and careful in this relatively unexplored ethical field.

Potential Applications
Despite all of that dour news, organoids are still having a positive impact on millions of people with the potential to aid millions more. Unfortunately we only have time for two of these here: Regenerative Medicine and Transplantation.

Regenerative Medicine is the field of science dedicated to the regeneration and restoration of human tissue based in Stem cells. Many different animals have regenerative properties from the regrowth and axolotl limbs to sea cucumbers regrowing internal organs to flatworms regrowing entire heads. Throughout history scientists have been inspired by these properties and researched the mechanisms behind them, leading to the field of regenerative medicine. While the study of artificial organs has been around since the 1930s, the modern idea of regenerative medicine centered around Stem cells started in the 1990s (Sampogna et al., 2015).

As mentioned in my first article, the very purpose of Stem cells is to replace damaged, specialized cells. By comprehending the properties behind their functions, scientists can apply them to other areas. It is organoids that allow scientists to grow the cell cultures and tissue samples that are behind regenerative research. If someone has a large wound or damaged organ, an organoid of that structure could be applied and integrated into the person’s natural system. The organoid could be made from the person’s own cells, bypassing an immune response that comes with many non-biomaterials or transplants. This has already been proven promising. In one study, organoids made from the stem cells of mice suffering from inflammation and damage of their colon lining were successfully transferred onto the mice’s injured tissue. The cultured tissue covered the damage leading to a decrease in inflammation and harmful symptoms (Babak Arjmand et al., 2022). There are currently limitations, such as the delivery of nutrients mentioned above that directly challenge this field, but with more research scientists can find better ways for organoids to improve people’s lives through regenerative medicine.

Transplantation is a great example of the applications of regenerative medicine. As mentioned above, tissues and cell cultures can be grown using organoids. This is not the extent of their potential however. As organoid research develops, scientists are working to make larger and more complex models. Through assembloids, the combinations of different types of organoid (a topic for a later article), lab made organs or entire organ systems could be created from a single stem cell. In 2025, scientists were able to successfully transplant pig kidneys made from organoids (SMC Spain, 2025). In the future organoids could be used to transplant an entire human heart or cardiovascular system. An even farther yet still plausible possibility would be the creation of entire limbs for transplants with scientists already researching limb organoids (Tsutsumi & Mototsugu Eiraku, 2023). Approximately 5,600 people in the U.S. die each year simply waiting for a transplant in addition to the 30% of recipients who die within 10 years of a transplant due to complications such as transplant rejection (What Are the Complications of Transplantation?, 2019). Organoids have the potential to prevent these deaths, and while there are still complications due to the price and longevity of organoids, they will only improve with continued exploration.

Conclusion
Organoids are amazing. They have the ability to impact almost every field of biomedical science and save millions of lives. While this article does take a much more nuanced look at organoids, diving into their limitations and complications, scientists are aware of these issues and taking careful approaches to research. Improvements in organoids, especially to their limitations, can only be made if research is supported and continued. There is still so much potential for organoids that we have only just scratched the surface of and so many more applications that we haven’t even considered yet. Organoids have even been proven to work with many other biomedical instruments and tools, aiding in their development as well. The possibilities are endless.

Organoids are my passion, I’ve been interested in them for years now. Yet no one knew what I was going on and on about. I hope that these articles inspire curiosity and spread the wonders of organoids to others.

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Works Cited:

Title Image: Illustration created by Alexandra Marshall

Andrews, M. G., & Kriegstein, A. R. (2022). Challenges of Organoid Research. Annual Review of Neuroscience, 45(1), 23–39. https://doi.org/10.1146/annurev-neuro-111020-090812

Babak Arjmand, Rabbani, Z., Faezeh Soveyzi, Akram Tayanloo-Beik, Mostafa Rezaei-Tavirani, Mahmood Biglar, Adibi, H., & Bagher Larijani. (2022). Advancement of Organoid Technology in Regenerative Medicine. Regenerative Engineering and Translational Medicine, 9(1), 83–96. https://doi.org/10.1007/s40883-022-00271-0

Bredenoord, A. L., Clevers, H., & Knoblich, J. A. (2017). Human tissues in a dish: The research and ethical implications of organoid technology. Science, 355(6322). https://doi.org/10.1126/science.aaf9414

Lavazza, A., & Massimini, M. (2018). Cerebral organoids: ethical issues and consciousness assessment. Journal of Medical Ethics, 44(9), 606–610. https://doi.org/10.1136/medethics-2017-104555

Pereira, A. M., Popovic, M., Dondorp, W. J., Bustos, M. T., Bredenoord, A. L., Chuva, S. M., Susanne, Roelen, B. A. J., Guido, & Björn Heindryckx. (2020). Modelling human embryogenesis: embryo-like structures spark ethical and policy debate. Human Reproduction Update, 26(6), 779–798. https://doi.org/10.1093/humupd/dmaa027

Sampogna, G., Guraya, S. Y., & Forgione, A. (2015). Regenerative medicine: Historical roots and potential strategies in modern medicine. Journal of Microscopy and Ultrastructure, 3(3), 101–107. https://doi.org/10.1016/j.jmau.2015.05.002

Spain, S. (2025, October 31). For the first time, pig kidneys modified with human renal organoids are transplanted into pigs. SMC España. https://sciencemediacentre.es/en/first-time-pig-kidneys-modified-human-renal-organoids-are-transplanted-pigs#:~:text=Pig%20kidneys%20modified%20with%20human%20renal%20organoids

Schutgens, F., & Clevers, H. (2020). Human Organoids: Tools for Understanding Biology and Treating Diseases. Annual Review of Pathology: Mechanisms of Disease, 15(1), 211–234. https://doi.org/10.1146/annurev-pathmechdis-012419-032611

Simian, M., & Bissell, M. J. (2016). Organoids: A historical perspective of thinking in three dimensions. The Journal of Cell Biology, 216(1), 31–40. https://doi.org/10.1083/jcb.201610056

Stefanicka-Wojtas, D., & Kurpas, D. (2023). Personalised Medicine—Implementation to the Healthcare System in Europe (Focus Group Discussions). Journal of Personalized Medicine, 13(3), 380. https://doi.org/10.3390/jpm13030380

Tsutsumi, R., & Mototsugu Eiraku. (2023). How might we build limbs in vitro informed by the modular aspects and tissue-dependency in limb development? Frontiers in Cell and Developmental Biology, 11, 1135784–1135784. https://doi.org/10.3389/fcell.2023.1135784

What are the complications of transplantation? (2019, April). National Kidney Federation. https://www.kidney.org.uk/what-are-the-complications-of-transplantation#:~:text=Within%20one%20year%20of%20any,ten%20years%20after%20a%20transplant.

 

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