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Table 2 hPSC-derived brain organoids for modelling neural disorders and cancer

From: Human pluripotent stem cell-derived brain organoids as in vitro models for studying neural disorders and cancer

Disease

Genes/Cell types

Brain region/Organoid type

Observed phenotypes in organoids

Conclusions

Reference

Microcephaly

CDK5RAP2/ Patient iPSC

Whole brain/cereal organoid

Patient organoids showed a smaller overall size and a reduction of the progenitor zones

CDK5RAP2 mutation in brain organoids leads to decreased NPCs proliferation and premature NPCs differentiation

[11]

CPAP/ Patient iPSC

Patient organoids exhibited a reduced size, enlarged ventricular lumen, increased number of cilia as well as premature neurogenesis

CPAP mutation causes cilia disassembly, and eventually leads to a delayed cell-cycle re-entry and premature neurogenesis

[51]

WDR62/Genetically modified iPSC

WDR62 depletion resulted in smaller cerebral organoid sizes due to reducing the oRGs proliferation and inducing the early neurogenesis

WDR62-CEP170-KIF2A pathway functions as a contributor to microcephaly

[59]

NARS1/Patient iPSC

Patient organoids showed reduced proliferation of radial glial cells, resulting in smaller organoids characteristic of microcephaly

NARS1 is required to meet protein synthetic needs and to support RGC proliferation in human brain development

[60]

IER3IP1/Genetically modified iPSC

IER3IP1 KO organoids showed a smaller size, neural rosettes and reduced NPCs compared to WT organoids

The regulation of extracellular matrix protein secretion by IER3IP1 is involved in brain size control and is implicated in microcephaly

[61]

Epilepsy

TSC1/2/Genetically modified iPSC

Whole brain/cereal organoid

Loss of TSC1 or TSC2 in brain organoids prominently disrupted the developmental suppression of mTORC1 pathway and resulted in abnormal differentiation and hypertrophy of human neurons and glia, giving rise to dysplastic cells resembling those found in tubers

mTOR inhibition during a critical developmental period prevents the formation of dysplastic cells

[79]

CACNA1C/Timothy syndrome patient iPSC

Cortical-subpallium/ Assembloids

Abnormal salutatory migration of interneurons was observed in patient assembloids with TS

Treating the assembloids with L-type calcium channels inhibitors (nimodipine) can rescued the saltatory defects

[37]

Autism spectrum disease (ASD)

FOXG1/ASD patient iPSC

Whole brain/cereal organoid

ASD-derived organoids exhibited an accelerated cell cycle and overproduction of GABAergic inhibitory neurons

Overexpression of FOXG1 induced GABAergic neuron fate is a developmental precursor of ASD

[83]

CDH8/Genetically modified iPSC

Transcriptome analysis using cerebral organoids with CHD8 haplosufficiency revealed a subset of dysregulated genes overlapping those of the idiopathic ASD organoids

CHD8 may be a genetic risk of ASD

[84]

RAB39b/Genetically modified iPSC

Brain organoids carrying the RAB39b gene mutation showed enlarged sizes

RAB39b mutation promotes PI3K-AKT-mTOR activity and alters cortical neurogenesis, leading to ASD-like behaviors

[87]

Alzheimer’s disease (AD)

APP and PSEN1/AD patient iPSC

Whole brain/cereal organoid

AD-associated brain organoids showed increased amyloid aggregation, hyperphosphorylated tau protein, and increased apoptosis

Brain organoids represent an alternative model for studying the pathology of genetic forms of AD

[95]

APOE4/AD patient iPSC

AD patients carrying APOE4 increased levels of Aβ and phosphorylated tau, and exacerbated neuronal cell apoptosis and synapse loss

APOE4 exacerbates AD pathogenesis in cerebral organoids

[97]

PITRM1/Genetically modified iPSC

PITRM1 knockout organoids showed accumulation of protein aggregates, tau pathology, and neuronal cell death

PITRM1 plays a protective role of in AD pathogenesis

[98]

BACE2/AD patient iPSC

Trisomy of BACE2 skewed non-amyloidogenic Aβ peptide ratios and suppresses AD-like pathology in organoids

BACE2 is an AD suppressor in human brain

[102]

Parkinson’s disease (PD)

LRRK2G2019S /PD patient and genetically modified iPSCs

Midbrain/midbrain organoid

LRRK2G2019S hiPSC-derived midbrain organoids showed reduction of the number and arborisation complexity of TH+ cells, impaired mitochondrial function, and increased apoptosis

LRRK inhibition and knockdown of TXNIP can rescue the observed phenotypes in PD midbrain organoids

[110, 111]

Huntington’s disease (HD)

HTT/ integration-free HD hiPSC with 21, 28, 33, 60, 109, and 180 CAG repeats

Whole brain/cereal organoid

HD hiPSC-derived organoids showed immature ventricular zone and defects in neuroectoderm and rosette formation

HD-associated phenotypes, including the cortical and striatal specification defects, and neuronal migration and differentiation defects are CAG expansion dependant

[114]

GBM initiation

MYCOE, NF1−/PTEN−/TP53−, and EGFRvIIIOE/CDKN2A−/PTEN−/genetically modified iPSC

Whole brain/neoCOR

Genetically modified cerebral organoids induced overgrowth and exhibited many features of cancer

neoCOR is an ideal model to study GBM initiation and progression in human brain-like tissues

[122]

HRasG12V/TP53−/genetically modified iPSC

Genetically modified cerebral organoids induced mesenchymal GBMs and exhibited an invasive phenotype orthotopically xenografted into immunodeficient mice

[123]

GBM invasion

 

Co-culturing of GBM spheroids with cerebral organoids

Tumor spheroids could spontaneously infiltrate early-stage cerebral organoids and exhibited an invasive phenotype

Co-culture model is an ideal to study GBM/GSCs growth and invasive behaviours in brain-like tissues

[124]

Co-culturing of GSCs with cerebral organoids: GLICO (GLIoma cerebral organoids)

GSCs home toward the human cerebral organoid and deeply invaded and proliferated within the host tissue

[125]