Science·Education·Discovery

Advancing understanding of fetal lung disease.

The Bose FABLE Lab bridges the laboratory and the operating room, with mechanobiology research, fetal surgical care, and plain-language education for families facing congenital diaphragmatic hernia.

Illustration of human lungs and the bronchial tree

Research

The fetal lung is built by force.

Our central question is how the developing lung senses and responds to mechanical stretch, and how that biology can be harnessed to improve outcomes in congenital diaphragmatic hernia (CDH).

01

Mechanosensing

How lung epithelial cells convert physical stretch into fate decisions through the PIEZO1 to calcium to YAP pathway.

02

FETO as a signal

Reframing fetal tracheal occlusion as a dose- and duration-dependent biological stimulus, to explain why outcomes vary between patients.

03

From tissue to model

Primary human neonatal lung cells under controlled stretch, precision-cut lung slices, and human spatial transcriptomics across control, CDH, and FETO-treated lungs.

Publications

Selected publications.

Peer-reviewed work spanning in utero gene and base editing, lipid-nanoparticle delivery, fetal surgery, and the ethics of fetal intervention.

Featured
In utero split AAV9 adenine base editing corrects the multi-organ pathology in a lethal lysosomal storage disease.
Bose SK, White BM, Kashyap MV, et al. Nature Communications, 12(1), 1–16 (2021).
2024
In utero delivery of targeted ionizable lipid nanoparticles facilitates in vivo gene editing of hematopoietic stem cells. Palanki R, Riley JS, Bose SK, et al. Proceedings of the National Academy of Sciences, 121(32), e2400783121 (2024).
In utero hematopoietic cell transplantation leads to sustained engraftment in a mouse model of Fanconi anemia. Dave A, Liu S, Riley JS, Bose SK, et al. Blood Advances, 8(3), 624–628 (2024).
Intra-abdominal bowel dilation in experimental gastroschisis is associated with a modifiable transcriptomic program of intestinal dysfunction. Guerra ME, Arai T, Joyeux L, Baxter C, Bose S, et al. Annals of Surgery.
2023
Ionizable lipid nanoparticles for therapeutic base editing of congenital brain disease. Palanki R, Bose SK, Dave A, et al. ACS Nano, 17(14), 13594–13610 (2023).
Prenatally diagnosed large lung lesions: timing of resection and perinatal outcomes. Bose SK, Stratigis JD, Ahn N, et al. Journal of Pediatric Surgery, 58(12), 2384–2390 (2023).
Fetal allotransplant recipients are resistant to graft-versus-host disease. Riley JS, McClain LE, Stratigis JD, Coons BC, Bose SK, et al. Experimental Hematology, 118, 31–39 (2023).
Ethics considerations regarding artificial womb technology for the fetonate. De Bie F, Kim SD, Bose SK, et al. American Journal of Bioethics, 23(5), 67–78 (2023).
Foetal genome editing. Bose SK, Kennedy K, Peranteau W. Current Opinion in Obstetrics and Gynecology, 35(2), 134–139 (2023).
Comment on: Premature delivery in the domestic sow in response to in utero delivery of AAV9 to fetal piglets. Dave A, Berkowitz C, Luks V, White B, Palanki R, Carpenter M, Bose S, et al. Gene Therapy, 30(3–4), 232–235 (2023).
2021
Ionizable lipid nanoparticles for in utero mRNA delivery. Riley RS, Kashyap MV, Billingsley MM, White B, Bose SK, et al. Science Advances, 7(3) (2021).
Amniotic fluid stabilized lipid nanoparticles for in utero intra-amniotic mRNA delivery. Swingle KL, Billingsley MM, Bose SK, et al. Journal of Controlled Release, 341, 616–633 (2021).
In utero gene therapy: progress and challenges. Bose SK, Menon P, Peranteau W. Trends in Molecular Medicine, 27(8), 728–730 (2021).

For Families

Just heard the words "diaphragmatic hernia"?

If you have a new CDH diagnosis, you are likely frightened and searching for clear answers. These plain-language guides, written by a pediatric surgeon, walk the whole journey. They are educational and are not a substitute for your own care team.

Open the full guide

About the PI

Sourav K. Bose, MD, MBA, MSc

Dr. Sourav K. Bose

Dr. Bose is a pediatric surgeon and surgeon-scientist who directs the Bose FABLE Lab. He is an Assistant Professor of Surgery at Baylor College of Medicine and a pediatric surgeon at Texas Children's Hospital, affiliated with the Texas Children's Fetal Center.

His program bridges the operating room and the bench, centered on how the developing lung senses mechanical force and how fetal interventions such as tracheal occlusion (FETO) can be understood and improved.

He completed general surgery training at Brigham and Women's Hospital, a fetal research fellowship at the Children's Hospital of Philadelphia Center for Fetal Research, and pediatric surgery fellowship at Texas Children's Hospital. He earned his MD from the Perelman School of Medicine, an MBA from the Wharton School, and an MSc from the London School of Hygiene and Tropical Medicine. As an undergraduate, he was a student in the Vagelos Program in Life Sciences and Management at the University of Pennsylvania.

Contact

Get in touch.

Research & collaboration

For questions about the lab, collaborations, or trainee positions in fetal lung biology and mechanobiology.

Families & referrals

If your care team has raised a fetal consultation, ask them for a referral to a fetal care center. Information here is educational and is not medical advice.