Turner Institute for Brain and Mental Health and the School of Psychological Sciences, Monash University, Melbourne, Australia.
Biomedicine Discovery Institute, Monash University, Melbourne, Australia.
Mol Psychiatry. 2020 Feb;25(2):368-378. doi: 10.1038/s41380-019-0495-0. Epub 2019 Aug 27.
Cellular models of neurodevelopmental disorders provide a valuable experimental system to uncover disease mechanisms and novel therapeutic strategies. The ability of induced pluripotent stem cells (iPSCs) to generate diverse brain cell types offers great potential to model several neurodevelopmental disorders. Further patient-derived iPSCs have the unique genetic and molecular signature of the affected individuals, which allows researchers to address limitations of transgenic behavioural models, as well as generate hypothesis-driven models to study disorder-relevant phenotypes at a cellular level. In this article, we review the extant literature that has used iPSC-based modelling to understand the neuronal and glial contributions to neurodevelopmental disorders including autism spectrum disorder (ASD), Rett syndrome, bipolar disorder (BP), and schizophrenia. For instance, several molecular candidates have been shown to influence cellular phenotypes in three-dimensional iPSC-based models of ASD patients. Delays in differentiation of astrocytes and morphological changes of neurons are associated with Rett syndrome. In the case of bipolar disorders and schizophrenia, patient-derived models helped to identify cellular phenotypes associated with neuronal deficits (e.g., excitability) and mutation-specific abnormalities in oligodendrocytes (e.g., CSPG4). Further we provide a critical review of the current limitations of this field and provide methodological suggestions to enhance future modelling efforts of neurodevelopmental disorders. Future developments in experimental design and methodology of disease modelling represent an exciting new avenue relevant to neurodevelopmental disorders.
神经发育障碍的细胞模型为揭示疾病机制和新的治疗策略提供了有价值的实验系统。诱导多能干细胞(iPSCs)生成多种脑细胞的能力为模拟几种神经发育障碍提供了巨大的潜力。此外,患者来源的 iPSCs 具有受影响个体的独特遗传和分子特征,这使得研究人员能够解决转基因行为模型的局限性,并生成假设驱动的模型,以在细胞水平上研究与疾病相关的表型。在本文中,我们回顾了使用基于 iPSC 的建模来理解神经发育障碍(包括自闭症谱系障碍(ASD)、雷特综合征、双相情感障碍(BP)和精神分裂症)中神经元和神经胶质的贡献的现有文献。例如,已经显示几种分子候选物会影响 ASD 患者的三维 iPSC 模型中的细胞表型。星形胶质细胞分化延迟和神经元形态变化与雷特综合征有关。在双相情感障碍和精神分裂症的情况下,患者来源的模型有助于确定与神经元缺陷(例如兴奋性)相关的细胞表型,以及少突胶质细胞(例如 CSPG4)中的突变特异性异常。此外,我们还对该领域当前的局限性进行了批判性评估,并提供了增强神经发育障碍未来建模工作的方法建议。疾病建模的实验设计和方法学的未来发展代表了与神经发育障碍相关的一个令人兴奋的新途径。