Abnormal cell sorting and altered early neurogenesis in a human cortical organoid model of Protocadherin-19

Wei Niu1,2, Lu Deng1,3, Sandra P Mojica-Perez1

  • 1Department of Neurology, University of Michigan, Ann Arbor, MI, United States.

Insights

Protocadherin-19 (PCDH19)-Clustering Epilepsy (PCE) in females arises from mosaic PCDH19 expression disrupting cell interactions. This study developed a human cortical organoid model to investigate PCE mechanisms and test therapies.

Area of Science:

  • Developmental neuroscience
  • Genetics
  • Epilepsy research

Background:

  • Protocadherin-19 (PCDH19)-Clustering Epilepsy (PCE) is a severe neurodevelopmental disorder caused by PCDH19 gene variants.
  • PCE primarily affects females due to X-chromosome inactivation leading to mosaic PCDH19 expression.
  • Existing models like rodents and iPSCs have limitations in replicating human brain development and mosaicism.

Purpose of the Study:

  • To develop a novel in vitro model for mosaic PCDH19 expression in human cortical organoids (hCOs).
  • To investigate the role of PCDH19 in human neural development and the pathogenesis of PCE.
  • To establish a platform for testing potential precision therapies for PCE.

Main Methods:

  • Generated isogenic human embryonic stem cells with wild-type (WT) or knockout (KO) PCDH19 using genome editing.
  • Created mosaic hCOs by mixing GFP-labeled WT and RFP-labeled KO cells.
  • Analyzed cell sorting, gene expression (PCDH19, N-Cadherin), and neurogenesis in hCOs.

Main Results:

  • Mosaic PCE hCOs showed abnormal cell segregation in the ventricular zone (VZ) with distinct WT and KO cell populations.
  • PCDH19 KO cells segregated from WT cells even at varying ratios (2:1, 1:2).
  • PCE hCOs exhibited altered PCDH19 and N-Cadherin expression and impaired deep layer neurogenesis, unlike control hCOs.

Conclusions:

  • PCDH19 is crucial for radial glial organization and early cortical development in humans.
  • The mosaic PCE hCO model accurately reflects key aspects of the disease.
  • This model provides a valuable tool for understanding PCE mechanisms and developing targeted treatments.
Abstract