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Modeling ALS in a dish: how organoids are transforming research
Gaia Galluzzi1,2, Giancarlo Ruocco1,3, Ersilia Fornetti4
1Center for Life Nano and Neuro Science, Istituto Italiano di Tecnologia, Rome, Italy.
Frontiers in Medicine
|April 23, 2026
Summary
Induced pluripotent stem cell (iPSC)-derived organoids offer a revolutionary human-based model for studying Amyotrophic Lateral Sclerosis (ALS). These 3D models accurately replicate disease pathology, advancing drug discovery and personalized therapies for ALS.
Area of Science:
- Neuroscience
- Stem Cell Biology
- Disease Modeling
Background:
- Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease with complex causes, including genetic and environmental factors.
- Current research models, like animal and 2D cell cultures, inadequately represent human-specific disease mechanisms.
- Developing effective ALS therapies is challenging due to the disease's intricate pathophysiology.
Purpose of the Study:
- To review the application of induced pluripotent stem cell (iPSC)-derived organoids in Amyotrophic Lateral Sclerosis (ALS) research.
- To highlight the potential of 3D organoid models for understanding ALS pathogenesis and facilitating drug discovery.
- To provide a comprehensive overview of differentiation protocols, experimental strategies, and key findings in ALS organoid research.
Main Methods:
- Utilizing induced pluripotent stem cell (iPSC) technology to generate patient-specific or disease-relevant cell types.
- Developing three-dimensional (3D) organoid models, including spinal and neuromuscular organoids.
- Employing organoids to recapitulate key pathological features of ALS, such as motor neuron degeneration and protein aggregation.
- Validating and benchmarking organoid models against established ALS research findings.
Main Results:
- iPSC-derived organoids successfully model critical aspects of ALS pathophysiology, including motor neuron loss and neuromuscular junction defects.
- These 3D models exhibit human-specific disease characteristics not fully captured by traditional models.
- Organoids serve as effective platforms for mechanistic studies and high-throughput drug screening for potential ALS therapeutics.
- Spinal and neuromuscular organoids bridge the gap between simplified in vitro systems and the human nervous system.
Conclusions:
- iPSC-derived organoids represent a significant advancement in ALS research, offering a more accurate and human-relevant disease model.
- These models hold immense translational potential for accelerating the development of personalized therapies for ALS.
- Further research and validation are crucial to fully harness the capabilities of organoids in clinical applications and therapeutic discovery for ALS.

