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Neurobehavioral Assessments in a Mouse Model of Neonatal Hypoxic-ischemic Brain Injury
Published on: November 24, 2017
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.
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.
Abstract:
Owing to recent medical and technological advances in neonatal care, infants born extremely premature have increased survival rates1,2. After birth, these infants are at high risk of hypoxic episodes because of lung immaturity, hypotension and lack of cerebral-flow regulation, and can develop a severe condition called encephalopathy of prematurity3. Over 80% of infants born before post-conception week 25 have moderate-to-severe long-term neurodevelopmental impairments4. The susceptible cell types in the cerebral cortex and the molecular mechanisms underlying associated gray-matter defects in premature infants remain unknown. Here we used human three-dimensional brain-region-specific organoids to study the effect of oxygen deprivation on corticogenesis. We identified specific defects in intermediate progenitors, a cortical cell type associated with the expansion of the human cerebral cortex, and showed that these are related to the unfolded protein response and changes. Moreover, we verified these findings in human primary cortical tissue and demonstrated that a small-molecule modulator of the unfolded protein response pathway can prevent the reduction in intermediate progenitors following hypoxia. We anticipate that this human cellular platform will be valuable for studying the environmental and genetic factors underlying injury in the developing human brain.
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