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Extracellular Vesicle Profiling Reveals Novel Autism Signatures in Patient-Derived Forebrain Organoids
Isidora Stankovic1, Phillip Smit2, Jonathan Cross3
1Center for Neurogenetics, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, Cornell University, New York, NY, USA.
Research Square
|June 5, 2025
Summary
Extracellular vesicles (EVs) from Autism Spectrum Disorder (ASD) organoids show distinct RNA and protein cargo. This discovery offers new insights into ASD molecular mechanisms and potential exosome-based diagnostics.
Area of Science:
- Neuroscience
- Genetics
- Cell Biology
Background:
- Autism Spectrum Disorder (ASD) affects 1% of the global population, with a significant increase in prevalence.
- Altered synaptic function is implicated in ASD, but underlying molecular mechanisms are not well-defined.
- Extracellular vesicles (EVs), particularly exosomes, are crucial for brain cell communication and implicated in various diseases.
Purpose of the Study:
- To investigate the role of EVs in ASD by characterizing EVs secreted from patient-derived cortical organoids.
- To define the cargo of these EVs and compare them to EVs from healthy control organoids.
- To explore the potential of EVs as biomarkers and therapeutic targets for ASD.
Main Methods:
- Utilized patient-derived cortical organoid models (3D human tissue).
- Employed small RNA sequencing and proteomics to analyze EV cargo.
- Used nanoparticle tracking and microscopy for comprehensive EV characterization.
Main Results:
- Demonstrated, for the first time, significant alterations in EVs derived from ASD cortical organoids compared to controls.
- Revealed substantial differences in both RNA and protein content within ASD-derived EVs.
- Provided a comprehensive cargo analysis of EVs secreted from human 3D forebrain models.
Conclusions:
- ASD-derived EVs exhibit distinct molecular cargo, offering novel insights into the disorder's underlying mechanisms.
- EVs represent a promising avenue for developing exosome-based diagnostics for ASD.
- The findings highlight the therapeutic potential of targeting or utilizing EVs in ASD management.

