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Updated: Oct 3, 2025

In Vitro Modeling of Down Syndrome Neurogenesis Using Human-Induced Pluripotent Stem Cells
Published on: March 7, 2025
Partial Monosomy 21 Mirrors Gene Expression of Trisomy 21 in a Patient-Derived Neuroepithelial Stem Cell Model
Jakob Schuy1, Jesper Eisfeldt1,2,3, Maria Pettersson1,2
1Department of Molecular Medicine and Surgery and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Abstract:
Induced pluripotent stem cells (iPSCs) from patients are an attractive disease model to study tissues with poor accessibility such as the brain. Using this approach, we and others have shown that trisomy 21 results in genome-wide transcriptional dysregulations. The effects of loss of genes on chromosome 21 is much less characterized. Here, we use patient-derived neural cells from an individual with neurodevelopmental delay and a ring chromosome 21 with two deletions spanning 3.8 Mb at the terminal end of 21q22.3, containing 60 protein-coding genes. To investigate the molecular perturbations of the partial monosomy on neural cells, we established patient-derived iPSCs from fibroblasts retaining the ring chromosome 21, and we then induced iPSCs into neuroepithelial stem cells. RNA-Seq analysis of NESCs with the ring chromosome revealed downregulation of 18 genes within the deleted region together with global transcriptomic dysregulations when compared to euploid NESCs. Since the deletions on chromosome 21 represent a genetic "contrary" to trisomy of the corresponding region, we further compared the dysregulated transcriptomic profile in with that of two NESC lines with trisomy 21. The analysis revealed opposed expression changes for 23 genes on chromosome 21 as well as 149 non-chromosome 21 genes. Taken together, our results bring insights into the effects on the global and chromosome 21 specific gene expression from a partial monosomy of chromosome 21qter during early neuronal differentiation.
Insights
Partial loss of chromosome 21 (ring chromosome 21) in neural stem cells causes significant gene expression changes. These molecular effects contrast with those seen in Down syndrome (trisomy 21), offering new insights into neurodevelopmental disorders.
Area of Science:
- Genetics
- Developmental Biology
- Stem Cell Biology
Background:
- Induced pluripotent stem cells (iPSCs) model accessible tissues like the brain.
- Trisomy 21 causes genome-wide transcriptional dysregulation.
- Effects of chromosome 21 gene loss are less understood.
Purpose of the Study:
- Investigate molecular perturbations in neural cells due to partial chromosome 21 monosomy.
- Characterize gene expression changes in neuroepithelial stem cells (NESCs) with a ring chromosome 21.
- Compare these effects to trisomy 21 models.
Main Methods:
- Established patient-derived iPSCs from fibroblasts with a ring chromosome 21.
- Differentiated iPSCs into neuroepithelial stem cells (NESCs).
- Performed RNA-Sequencing (RNA-Seq) analysis.
Main Results:
- NESCs with ring chromosome 21 showed downregulation of 18 genes in the deleted region (21q22.3).
- Global transcriptomic dysregulation was observed in ring chromosome 21 NESCs compared to euploid controls.
- Opposed gene expression changes were found for 23 chromosome 21 genes and 149 non-chromosome 21 genes when compared to trisomy 21 NESCs.
Conclusions:
- Partial monosomy of chromosome 21qter impacts global and chromosome 21-specific gene expression during early neuronal differentiation.
- Findings provide insights into the molecular consequences of chromosome 21 deletions.
- This study contrasts the effects of gene loss versus gain on chromosome 21 in neural development.
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