Cerebral organoids with chromosome 21 trisomy secrete Alzheimer's disease-related soluble aggregates detectable by

Emre Fertan1,2, Dorothea Böken1,2, Aoife Murray3,4

  • 1Yusuf Hamied Department of Chemistry, University of Cambridge, Cambridge, CB2 1EW, UK.

Molecular Psychiatry
|December 15, 2023
PubMed

Insights

Early Alzheimer's disease (AD) pathology, including beta-amyloid (Aβ) and tau aggregates, was detected in cerebral organoids before plaque formation. This breakthrough allows for early in-vitro modeling of AD mechanisms.

Area of Science:

  • Neuroscience
  • Genetics
  • Biochemistry

Background:

  • Soluble aggregates of beta-amyloid (Aβ) and tau are critical in Alzheimer's disease (AD) pathogenesis.
  • Developing preventative therapies requires understanding early AD mechanisms.
  • Cerebral organoids offer a model for studying human brain development and disease.

Purpose of the Study:

  • To develop methods for detecting and quantifying soluble Aβ and tau aggregates in cerebral organoid-conditioned media.
  • To characterize early pathogenic changes in organoids modeling trisomy 21 (T21) Down syndrome, a genetic risk factor for AD.
  • To establish a reproducible in-vitro model for studying the initial stages of AD pathogenesis.

Main Methods:

  • Generation of cerebral organoids from human induced pluripotent stem cells (iPSCs) with and without trisomy 21 (T21).
  • Detection and quantification of soluble Aβ and tau aggregates in conditioned media.
  • Development of a novel normalization method based on glucose consumption to account for live neuron numbers.

Main Results:

  • T21 organoids produced significantly higher levels of soluble Aβ aggregates (2.5-fold) with larger and more fibrillary shapes compared to controls.
  • T21 organoids showed increased soluble phosphorylated tau (pTau) aggregates (1.3-fold), elevated inflammasome ASC-specks, and higher oxidative stress (TXNIP).
  • These pathological changes were detectable in conditioned media prior to histological evidence of amyloid plaques or intraneuronal tau pathology in organoid slices.

Conclusions:

  • Cerebral organoids from T21 iPSCs can model early AD pathogenic mechanisms, including soluble aggregate formation, before overt neuropathology.
  • Non-invasive monitoring of conditioned media allows for tracking AD pathology development over time in organoid models.
  • This approach provides a valuable platform for studying AD pathogenesis and testing preventative therapies in a pre-clinical setting.