“…Besides, the PCLS cannot fully recapitulate all attributes seen in vivo; for instance, there are major challenges with preserving arteriole morphology and localization of lung airway smooth muscle cells (Sanderson, 2011). Precision cut lung slices can reproduce the initial interactions and inflammatory responses to industrial chemicals (Lauenstein et al, 2014) and pathogens [e.g., influenza viruses (Liu et al, 2015), rhinovirus (Beale et al, 2014), Yersinia pestis (Banerjee et al, 2019), and Coxiella burnetiid (Graham et al, 2016)] in the human respiratory system; however, the extent to which the immune response can replicate the in vivo situation is limited, as demonstrated by Neuhaus et al (2017), who observed that LPS-induced tumor necrosis factor-alpha (TNF-α) secretion decreased significantly over a period of 15 days, and it is not possible to recruit non-resident immune cells. Moreover, while murine-derived PCLS models have been adapted to study the effects of cigarette smoke (Donovan et al, 2016), the PCLS per se have not been utilized for inhalation exposure studies in vitro, principally because the route of administration represents a challenge (e.g., physiological ALI cannot be established in this model system), and often the entire slice is bathed in the compound or stimulant of interest (Liu et al, 2019).…”