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Supplementary Figure S1. SARS-CoV-2 dose not infect basal cells, goblet cells or alveolar type 1 cells B

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Supplementary Figure S1. SARS-CoV-2 dose not infect basal cells, goblet cells or alveolar type 1 cells

B hALO

DAPI NP ACE2 PDPN

DAPI NP ACE2 PDPN

DAPI NP ACE2 PDPN

24h 48h 72h

A hAWO

SARS-CoV-2 24hSARS-CoV-2 72hSARS-CoV-2 48h

DAPI NP ACE2 MUC5AC

DAPI P63 ACE2 NP

DAPI NP ACE2 MUC5AC

DAPI P63 ACE2 NP

DAPI NP ACE2 MUC5AC

DAPI P63 ACE2 NP

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Supplementary Figure S1. SARS-CoV-2 dose not infect basal cells, goblet cells or alveolar type I cells. (A,B) Representative immunofluorescence images of nucleoprotein, ACE2 and indicated cell linage marker expression with DNA stain (DAPI).

Basal cells (P63+) and goblet cells (MUC5AC+) were stained in human airway organoids at indicated time points (A). Alveolar type I cells (PDPN+) were stained in human alveolar organoids (B). Scale bar, 100µm; bottom left corner, 20µm. Boxes represent zoom views.

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hAWO hALO

Merge DAPI TMPRSS2 ACE2 NP

Supplementary Figure S2. TMPRSS2 is ubiquitously expressed in human airway and alveolar organoid cells. Immunofluorescence images of SARS-CoV-2 infected human airway and alveolar organoids. TMPRSS2 (green) is broadly expressed in almost all human lung epithelial cells. Virus infected cells (nucleoprotein positively) highly express ACE2 (red). Scale bar, 100µm.

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Supplementary Figure S3. SRAS-CoV-2 infection induces apoptosis in human airway and alveolar organoids

A B C

24h 48h 72h 0

20 40 60 80

number of C-Caspase3+ cells

✱✱✱

✱✱✱

hALO

48h

Ki67 NP

Ki67 NP

72h

hALO

Ki67 NP

24h48h

Ki67 NP

Ki67 NP

72h

hAWO

Ki67 NP

24h 48h

C-Caspase3 NP

C-Caspase3 NP

hALO

24h

C-Caspase3 NP

72h

D

48h

C-Caspase3 NP C-Caspase3 NP

72h

C-Caspase3 NP

hAWO

24h

24h 48h 72h 0

20 40 60 80

hAWO

number of C-Caspase3+ cells ✱✱✱

✱✱✱

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Supplementary Figure S3. SRAS-CoV-2 infection induces apoptosis in human airway and alveolar organoids. (A) SARS-CoV-2 infected human airway and alveolar organoids are stained by cell proliferation marker, Ki67 (green) at 24, 48 and 72 hpi. Scale bar, 100µm. (B) Long term infection of SARS-CoV-2 induces apoptosis.

Cleaved caspase-3 (green) were observed within virus infected organoids at 72 hpi.

Scale bar, 100µm. (C,D) Number of cleaved caspase-3 positive cells in SARS-CoV-2 infected human airway organoids (C) and human alveolar organoids (D). n=5 organoids per condition. *** p <0.001 by unpaired, two-tailed Student’s t test.

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Supplementary Figure S4. Differentially expressed genes in the SARS-CoV-2-infected human lung organoids B

A

C

MOGAT1

*

MOGAT2

** *

MOGAT3

*** *

LPIN3

** **

DGAT1

*** *

DGAT2

** **

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D

Supplementary Figure S4. Differentially expressed genes in the SARS-CoV-2-infected human lung organoids

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E

Supplementary Figure S4. Differentially expressed genes in the SARS-CoV-2-infected human lung organoids

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Supplementary Figure S4. Differentially expressed genes in the SARS-CoV-2- infected human lung organoids. (A) Expression level of immune response related genes at 48 hpi. (B) Expression level of critical enzymes catalyzing triacylglycerol synthesis. (C) Expression level of ACE2 and TMPRSS2. (D) Metabolism change analysis revealed downregulated urea cycle in virus infected hAWOs by the MaRE4Galaxy tool. (E) Metabolism change analysis revealed downregulated folate metabolism, glutamine metabolism and urea cycle in virus infected hALOs by the MaRE4Galaxy tool. For A-C, The grey lines are the means of the three biological replicates, and the error bars are the standard error of the mean. Dare expressed as normalized read counts. P-values are from a one-tailed Student’s t test. * p<0.05, ** p

<0.01, *** p <0.001, **** p <0.0001.

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A

B

hAWOhALO

DMSO Bestatin Camostat Remdesivir

DAPI NP YZ

XZ

hAWO hALO

100 101 102 103 104 105 106 107

108 DMSO

Bestatin Camostat Remdesivir

* *

viral RNA (copies/ml)

Supplementary Figure S5. Remdesivir inhibits SARS-CoV-2 replication in human lung organoids.

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Supplementary Figure S5. Remdesivir inhibits SARS-CoV-2 replication in human lung organoids. (A) hAWOs and hALOs were infected with SARS-CoV-2, the indicated compounds were added into the culture media at 2hpi. The viral RNA in the culture supernatant was determined by qRT-PCR after 48h. (B) Whole-mount staining of human airway and alveolar organoids, which were harvested 48h after drug treatment. Scale bars: 100 µm.

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Table S1. Primers for qRT-PCR.

Gene Forward primer (5’ to 3’) Reserve primer (5’ to 3’) GAPDH ACAACTTTGGTATCGTGGAAGG GCCATCACGCCACAGTTTC

POU5F1 GGGAGATTGATAACTGGTGTGTT

GTGTATATCCCAGGGTGATCCT C

FOXA2 GGAGCAGCTACTATGCAGAGC CGTGTTCATGCCGTTCATCC

SOX2 TACAGCATGTCCTACTCGCAG

GAGGAAGAGGTAACCACAGG G

SOX9 AGCGAACGCACATCAAGAC CTGTAGGCGATCTGTTGGGG

SOX17 GTGGACCGCACGGAATTTG GGAGATTCACACCGGAGTCA NKX2.1 CTCATGTTCATGCCGCTC GACACCATGAGGAACAGCG

P63 CCACCTGGACGTATTCCACTG

TCGAATCAAATGACTAGGAGG GG

MUC5AC ACCAATGCTCTGTATCCTTCCC GTTTGGGTGGAGTAAGCCACA SFTPC AGCAAAGAGGTCCTGATGGA CGATAAGAAGGCGTTTCAGG SCGB1A

1

TTCAGCGTGTCATCGAAACCC

ACAGTGAGCTTTGGGCTATTTT T

ACE2 CAAGAGCAAACGGTTGAACAC CCAGAGCCTCTCATTGTAGTCT TMPRSS

2

GCAGTGGTTTCTTTACGCTGT CCGCAAATGCCGTCCAATG

Viral RNA PCR primer

CAATGGTTTAACAGGCACAGG CTCAAGTGTCTGTGGATCACG

Viral RNA PCR probe

ACAGCATCAGTAGTGTCAGCAATGTC TC

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Table S2. Antibody list

Primary Antibodies Dilution rate Manufacturer Cat. No.

NKX2.1 1:250 Abcam ab76013

SOX2 1:1000 Abcam AB97959

SOX9 1:40 R&D systems AF3075

P63 1:200 Abcam ab124762

MUC5AC 1:150 Thermo Fisher Scientific MA5-12178

CC10 1:300 Abcam Ab40873

SFTPC 1:300 SEVEN HILLS WRAB-76694

AQP5 1:150 Abcam ab92320

PDPN 1:200 Abcam ab10288

acetylated Tubulin 1:1000 Sigma T7451

Pro-SPC 1:200 EMD-Millipore #AB3786 E-CAD 1:100 R&D systems AF748

Ki67 1:250 Abcam Ab1667

Cleaved Caspase-3 1:400 Cell Signaling Technology #9661 Human ACE-2 1:100 R&D systems AF933

TMPRSS2 1:150 Abcam Ab109131

SARS-CoV-2 Nucleocapsid

1:200 Sino biological 40143-MM08

SARS-CoV-2 Nucleocapsid

1:5000

Kindly provide by Prof.

Zheng-Li Shi

Reference(Zhou et al., 2020) Dnokey anti-goat

( RRX ) 1:500 Jackson ImmunoResearch 705-295-147

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Zhou, P., Yang, X.L., Wang, X.G., Hu, B., Zhang, L., Zhang, W., Si, H.R., Zhu, Y., Li, B., Huang, C.L., et al. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature 579, 270-273.

Donkey anti-rabbit

(Alexa488) 1:500 Thermo Fisher Scientific A-21206 Donkey anti-mouse

(Alexa647) 1:300 Thermo Fisher Scientific A-31571

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