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This protocol outlines a methodology for recapitulating Down syndrome (DS) impaired neurogenesis using DS human iPSCs. The protocol identified biphasic cell cycle defect as the cause of impaired neurogenesis in Down syndrome. It provides a robust platform for understanding cellular and molecular mechanisms underlying the abnormal neurogenesis associated with DS.
Down syndrome (DS), caused by an extra copy of chromosome 21, is a leading cause of intellectual disability. One of the key factors contributing to this intellectual disability is impaired neurogenesis observed from fetal stages onwards. To study these neurodevelopmental abnormalities, human-induced pluripotent stem cells (hiPSCs) generated using cells obtained from DS patients provide a valuable and relevant model. Here, a comprehensive protocol is described for recapitulating DS-impaired neurogenesis observed during DS fetal stages. This protocol utilizes a pair of DS-hiPSCs having three copies of chromosome 21 and its isogenic euploid hiPSCs having two copies of chromosome 21. Importantly, the protocol described here recapitulates DS-impaired neurogenesis and found that biphasic cell cycle defect, i.e., reduced proliferation of DS neural progenitor cells (NPC) during the early phase of the neurogenic stage followed by increased proliferation of DS NPC during the late phase of the neurogenic stage is the cause of DS impaired neurogenesis. Increased proliferation of DS NPC during the late phase of the neurogenic stage leads to delayed exit from the cell cycle, causing reduced generation of post-mitotic neurons from DS NPCs. This protocol includes detailed steps for the maintenance of hiPSCs, their differentiation into neural lineages displaying biphasic cell cycle defect during the neurogenic stage, and the subsequent validation of reduced neural differentiation in DS cells. By following this methodology, researchers can create a robust experimental system that mimics the neurodevelopmental conditions of DS, enabling them to explore the specific alterations in brain development caused by trisomy 21.
Down syndrome (DS), or trisomy 21, is the most common chromosomal abnormality and the leading cause of intellectual disability (ID)1. Impaired neurogenesis during DS fetal development is one of the causes of intellectual disability in DS2. Human DS fetal studies show a reduction in brain weight and volume, reduced neurons, increased astrocytes3,4, and abnormal distribution of neurons in layers II and IV5,6. Additionally, the second phase of cortical development, i.e., the emergence of lamination, is both delayed and disorganized in DS7.
Neurodevelopment defects in DS have been studied mostly using mice models of DS such as Ts65Dn, Ts1Rhr, and Ts1cje8. However, these mice models were not able to fully recapitulate various phenotypes observed in DS studies due to physiological and developmental differences between mice and humans9, which led to failed clinical trials10. The invention of induced pluripotent stem cells11,12 provided an opportunity to model Down syndrome neurological impairment using cells derived directly from individuals with DS. However, earlier attempts to model DS neurodevelopmental defects using human iPSCs met with inconsistent results and could not fully explain neurodevelopmental defects observed in DS fetal brain sections13,14,15,16. For instance, a report published by Shi et al. found DS-related Alzheimer's phenotypes but reported no difference in DS neurogenesis compared to euploid controls15. Similarly, Weick et al. reported reduced synaptic activity but normal neurogenesis in DS compared to euploid controls16. However, normal neurogenesis in DS reported in these publications was not consistent with observation from DS fetal brain sections. Later, a report by Hibaoui et al. reported reduced neurogenesis in DS, which was consistent with the observation from the DS fetal brain section14. However, this report and another recent report described the reduced proliferation of DS NPCs as the cause of reduced neurogenesis in DS14,17. However, only reduced proliferation of DS NPCs could not explain increased astroglial cells and delayed emergence of lamination during DS fetal brain development.
In recently published work, a human iPSC-based DS-impaired neurogenesis model showing reduced neurogenesis was developed. This model found that impaired neurogenesis in DS is due to biphasic cell cycle defects during the neurogenic stage (the stage during which neural progenitor cells are generated from pluripotent stem cells). During the first phase in the neurogenic stage, DS NPCs exhibit reduced proliferation compared to isogenic euploid neural cells, followed by increased proliferation of DS NPCs compared to isogenic euploid cells in the late phase of the neurogenic stage18.
In this manuscript, a step-by-step detailed protocol for the differentiation of Down syndrome hiPSCs and its isogenic euploid hiPSCs into cortical neurons has been described. The overall goal of this method is to provide a detailed, step-by-step protocol for differentiating a pair of DS hiPSCs and its isogenic euploid hiPSCs into cortical neurons with a focus on modeling the neurogenesis defects associated with DS. This protocol is designed to offer a robust and reproducible system for investigating the cellular and molecular mechanisms underlying abnormalities causing DS-impaired neurogenesis.
The rationale behind the development of this protocol is to allow the differentiation of pluripotent stem cells into cortical neurons by utilizing principles of developmental neurobiology, thereby allowing the identification of phenotypes that arise due to disease/disorder. It aimed to take a minimalistic approach to neural differentiation of iPSCs by avoiding compounds like cAMP or DAPT, which may mask disease phenotypes arising due to defects in the Ca++ channel or NOTCH pathway, respectively. Similarly, the use of Ascorbic acid, BDNF, and GDNF was also avoided, which may mask other neurological disease-related phenotypes by potentiating neurogenesis.
The advantages of this technique over alternative methods lie in providing robust recapitulation of neurological phenotypes observed in DS fetal brain sections. Of note, compared to mouse models, the human iPSC-based system eliminates cross-species differences, providing a more relevant model for studying human-specific neurodevelopmental processes9 but until now has failed to recapitulate DS impaired neurogenesis observed in DS fetal stages onwards. Further, the use of isogenic pairs of hiPSCs reduces variability and enhances the reliability of observed phenotypic differences. This protocol will be of particular interest to researchers studying neurodevelopmental disorders and human neurogenesis. It is especially relevant for those seeking to model human-specific aspects of DS or those interested in developing therapeutic interventions targeting the neurogenesis defects associated with trisomy 21.
The following protocol was followed with two pairs of Down syndrome and its isogenic euploid human iPSCs. One pair was generated using the retroviral mediated delivery method of reprogramming19, and a second pair (NSi003-A and NSi003-B) was generated using the non-integrating Sendai virus delivery method20. The protocol broadly consists of two stages: The neurogenic stage (Stage 1) and the neural differentiation stage (Stage 2). Further, two phases based on the differences in the proliferation of Down syndrome and isogenic euploid cell lines, i.e., the Early and Late phases, are observed in the neurogenic stage. The details of the reagents, media, and equipment used in this study are listed in the Table of Materials.
1. Down syndrome hiPSCs and isogenic euploid hiPSCs culture and maintenance
2. Neuronal differentiation
NOTE: Preparation of Feeder-Conditioned Medium (FCM): Use a T-75 flask and plate 4 x 106 feeder cells per flask. Next day, add 40 mL of hiPSC medium with 4 ng/mL bFGF. Collect for 7 days. Store each day tube at -20Β Β°C for up to 1 month. Coat a 15 cm dish with 10 mL of 0.1% gelatin at 37 Β°C for at least 2 h before dissociating cells. Coat a 6-well plate with hESC-qualified basement membrane matrix (hereafter called "qualified matrix") 1 day before dissociating cells. When dissociating cells in the whole protocol, add 10 Β΅M of RI to the cell detachment solution (see Table of Materials), DPBS, and plating media (FCM supplemented with 25 ng/mL bFGF). Prepare fresh feeder-conditioned medium (FCM) for every differentiation. Avoid over-pipetting of hiPSCs.
3. Immunocytochemistry (ICC)
NOTE: Add enough buffer at all stages to cover cells and avoid drying of the well while aspirating during the washing stage.
4. Image acquisition and analysis
Singularized human iPSCs were seeded onto qualified matrix-coated dishes as single-cell suspensions, and differentiation was initiated by removing bFGF. To inhibit non-ectodermal differentiation, Dorsomorphin, a BMP signaling inhibitor, was added from DIV 2-1821. For further differentiation of progenitor cells from the neurogenic stage, single-cell suspensions were replated at low density on the qualified matrix (Figure 1) for an additional 6-10 weeks to observe early...
In this work, an efficient undirected monolayer cortical neurodifferentiation protocol for an isogenic pair of Euploid hiPSCs and DS hiPSCs is described. Since the cells are grown as monolayers, they are more exposed to culture conditions, which is not possible to the same extent as using embryoid bodies for differentiating iPSCs, which are generally used in other protocols14,16. While the utility of organoid systems is growing, monolayer-based neural differentia...
The authors have no conflict of interest to disclose.
The authors thank Prof. Stuart H. Orkin for providing us with a pair of Down syndrome and isogenic euploid hiPSCs. The authors are also thankful to the National Centre for Cell Science (BRIC-NCCS), Pune, for providing the funding to carry out this work.
Name | Company | Catalog Number | Comments |
MEF medium: | |||
DMEM High Glucose | Gibco | 11965-092 | |
FBS | VWR | 97068-085 | 10% final concentration |
Non-Essential Amino Acids | Hyclone | SH30238.01 | 1X final concentration |
Penicillin/Streptomycin | Hyclone | SV30010 | 1X final concentration |
Ξ²-Mercaptoethanol | Gibco | 21985-023 | 1X final concentration |
hiPSC medium: | |||
Knockout DMEM/F12 | GibcoΒ | 12660-012 | |
Knockout Serum Replacement (KOSR) | Gibco | 10828-028 | 20% final concentration |
Non-Essential Amino Acids | Hyclone | SH30238.01 | 1X final concentration |
Glutamax | GibcoΒ | 35050061 | 1X final concentration |
Penicillin/Streptomycin | Hyclone | SV30010 | 1X final concentration |
Ξ²-Mercaptoethanol (1000X) | Gibco | 21985-023 | 1X final concentration |
DDM medium: | |||
Knockout DMEM/F12 | GibcoΒ | 12660-012 | |
Non-Essential Amino Acids | Hyclone | SH30238.01 | 1X final concentration |
Glutamax | GibcoΒ | 35050061 | 1X final concentration |
Penicillin/Streptomycin | Hyclone | SV30010 | 1X final concentration |
Albumax (10%) | InvitrogenΒ | 11020-021 | 0.5 X of 10% Albumax is final concentration |
NPC medium: | |||
DDM medium | |||
N2 Supplement | GibcoΒ | 17502048 | 1X final concentration |
B-27 Supplement (50X), minus vitamin A | GibcoΒ | 12587010 | 1X final concentration |
Neural Differentiation medium (ND): | |||
DDM medium | 1/2 of volume | ||
Neurobasal Medium | GibcoΒ | 21103-049 | 1/2 of volume |
N2 Supplement | GibcoΒ | 17502048 | 0.5 X final concentration |
B-27 Supplement (50X) | GibcoΒ | 17504044 | 0.5 X final concentration |
Glutamax | GibcoΒ | 35050061 | 1X of Neurobasal medium |
Penicillin/Streptomycin | Hyclone | SV30010 | 1X of Neurobasal medium |
Antibodies and reagents for immunostaining: | |||
Paraformaldehyde | Sigma-Aldrich | 158127-500G | 4% |
DPBS, no calcium, no magnesium | Sigma-Aldrich | D5652 | |
Triton-X-100 Solution | Sigma-Aldrich | X100-500ML | 0.20% |
BSA | Hyclone | A7979-50ML | 1.00% |
Purified anti-tubulin Ξ²-3 (TUBB3) (TUJ1) | BioLegend | 801202 | 1:500 dilution |
Donkey anti-Mouse IgG (H+L) Secondary Antibody, Alexa fluor 594 conjugate | Life Tech InvitrogenΒ | A21203 | 1:250 dilution |
Purified Mouse-Anti-Human Ki67 | BD Pharmingen | 550609 | 1:100 dilution |
Purified anti-PAX6 | BioLegends | 901302 | 1:100 dilution |
Alexa fluor 488 Donkey (anti-rabbit) | Life Tech InvitrogenΒ | A21206 | 1:250 dilution |
DAPI Solution (5 mg/mL) | Sigma | D9542 | 1:1000 dilution |
Others | |||
Cell detachment solution (Accutase)Β | GibcoΒ | A11105-01 | Ready to use working solution |
Rock inhibitor (RI)Β | SellechckemΒ | Y27632 | 10 mM/ml final concentration |
DorsomorphinΒ | SellechckemΒ | S7306 | 0.125 nM/ml final concentration |
DPBS with calcium and magnisium (DPBS+ Ca, Mg) | GibcoΒ | 14040133 | Ready to use working solution |
DPBS without calcium and magnisium | GibcoΒ | 14190136 | Ready to use working solution |
Gelatin Type A | SigmaΒ | G2500-100G | 0.10% |
hESC-qualified basement membrane matrix (Matrigel GFR)Β | CorningΒ | 356230 | 1 mg stock vial diluted 1:240 |
Trypsin 0.05% | Gibco | 25300054 | |
Trypan Blue | Gibco | 15250-061 | 0.40% |
Basic Fibrablast Growth Factor (bFGF) | PeprotechΒ | 100-18B | 25 ng/ml final concentration |
CollagenaseΒ | GibcoΒ | 17104-019 | 1mg/ml final concentration |
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