Human 3D cellular model of hypoxic brain injury of prematurity

Anca M Pașca1, Jin-Young Park2, Hyun-Woo Shin2,3

  • 1Department of Pediatrics, Division of Neonatology, Stanford University, Stanford, CA, USA.

Nature Medicine
|May 8, 2019
PubMed

Insights

Extremely premature infants face brain injury risks due to oxygen deprivation. This study identifies defects in intermediate progenitors and suggests targeting the unfolded protein response may protect the developing brain.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Medical Research

Background:

  • Neonatal care advances increase survival for extremely premature infants.
  • These infants risk hypoxic episodes, leading to encephalopathy of prematurity and long-term neurodevelopmental impairments.
  • Susceptible brain cells and molecular mechanisms behind gray matter defects in premature infants are largely unknown.

Purpose of the Study:

  • To investigate the impact of oxygen deprivation on corticogenesis using human brain organoids.
  • To identify specific cell types and molecular pathways affected by hypoxia in the developing human brain.

Main Methods:

  • Utilized human three-dimensional brain-region-specific organoids to model oxygen deprivation.
  • Analyzed effects on corticogenesis, focusing on intermediate progenitors.
  • Verified findings in human primary cortical tissue.

Main Results:

  • Identified specific defects in intermediate progenitors, crucial for human cerebral cortex expansion, following oxygen deprivation.
  • Linked these defects to the unfolded protein response pathway.
  • Demonstrated that modulating the unfolded protein response can prevent hypoxia-induced reduction in intermediate progenitors.

Conclusions:

  • Intermediate progenitors are vulnerable to hypoxia during corticogenesis.
  • The unfolded protein response is a key molecular mechanism in hypoxic brain injury.
  • A human organoid platform is valuable for studying brain development and injury, offering potential therapeutic targets.

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