Olanzapine enhances early brain maturation through activation of the NODAL/FOXH1 axis

Ziwei Teng1,2, Zhuohui Chen1,3, Tianxiang Zou1

  • 1Department of Psychiatry, National Clinical Research Center for Mental Disorders, China National Technology Institute on Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China.

Iscience
|October 30, 2024
PubMed

Insights

Olanzapine treatment may benefit early brain development in humans. Cerebral organoids showed enhanced neuronal maturation and thicker cortical structures, with no observed negative effects in mice.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pharmacology

Background:

  • The effects of olanzapine on human brain development are not fully understood.
  • Investigating olanzapine's impact on neuronal response and brain structure is crucial.

Purpose of the Study:

  • To investigate the effects of therapeutic-dosage olanzapine on human cerebral organoids.
  • To elucidate the molecular mechanisms underlying olanzapine's impact on early neurodevelopment.

Main Methods:

  • Constructed human cerebral organoid (CO) models using induced pluripotent stem cells.
  • Analyzed COs treated with olanzapine at therapeutic dosages up to day 24.
  • Utilized transcriptomics and targeted metabolomics for molecular analysis.
  • Performed gene enrichment analysis with genome-wide association studies (GWAS).
  • Assessed effects of in-utero exposure in mouse models.

Main Results:

  • Olanzapine activated the NODAL/FOXH1 axis in early development (up to day 15).
  • Observed thicker cortical-like structures, mature cell identities, and enhanced neural progenitor cell stemness by day 24.
  • Confirmed upregulation of neurodevelopmental pathways and glutamate production.
  • GWAS revealed potential links to intelligence, major depressive disorder, and schizophrenia.
  • No adverse effects were noted from in-utero exposure in mice.

Conclusions:

  • Olanzapine treatment demonstrated potentially beneficial effects on early human brain development in vitro.
  • The findings suggest a complex role for olanzapine, potentially promoting neuronal maturation and structure.
  • Further research is warranted to explore these beneficial effects and their clinical implications.