Moderate intrinsic phenotypic alterations in C9orf72 ALS/FTD iPSC-microglia despite the presence of C9orf72

Ileana Lorenzini1, Eric Alsop2, Jennifer Levy1

  • 1Department of Translational Neuroscience, Barrow Neurological Institute, Phoenix, AZ, United States.

Insights

Microglia from C9orf72 amyotrophic lateral sclerosis and frontotemporal dementia (ALS/FTD) patients show some disease features but function normally in isolation. A diseased microenvironment may be necessary to trigger microglial dysfunction and neuronal damage in C9orf72 ALS/FTD.

Area of Science:

  • Neuroscience
  • Genetics
  • Stem Cell Biology

Background:

  • Amyotrophic lateral sclerosis and frontotemporal dementia (ALS/FTD) are neurodegenerative diseases linked to C9orf72 gene mutations.
  • While neurons are known to be affected, the role of non-neuronal cells, like microglia, in disease pathogenesis is not fully understood.

Purpose of the Study:

  • To investigate the intrinsic properties and functions of microglia derived from C9orf72 ALS/FTD patients.
  • To determine if C9orf72-associated pathological features in microglia alone can induce cellular dysfunction or neuroinflammation.

Main Methods:

  • Generation of induced pluripotent stem cell-derived microglia (iPSC-MG) from C9orf72 ALS/FTD patients and healthy controls.
  • Analysis of C9orf72 pathological hallmarks (RNA foci, dipeptide repeats, protein levels) in iPSC-MG.
  • Assessment of microglial functions including gene expression, inflammatory cytokine release, and phagocytosis.
  • RNA sequencing to identify transcriptional changes in iPSC-MG.

Main Results:

  • C9orf72 iPSC-MG exhibited hallmark pathological features, including G4C2 repeat RNA foci and reduced C9orf72 protein.
  • Despite these features, C9orf72 iPSC-MG maintained normal microglial functions like phagocytosis and cytokine release.
  • RNA sequencing revealed minor transcriptional alterations, but no significant differentially expressed microglial-enriched genes were identified.

Conclusions:

  • Isolated C9orf72 iPSC-MG display intrinsic disease-related molecular changes but retain normal functional capacity.
  • These findings suggest that a supportive or diseased microenvironment, rather than intrinsic microglial defects alone, may be crucial for driving neuroinflammation and neuronal dysfunction in C9orf72 ALS/FTD.