학술논문

Using iPSC-derived neurons to uncover cellular phenotypes associated with Timothy syndrome
Document Type
article
Source
Nature Medicine. 17(12)
Subject
Neurosciences
Brain Disorders
Rare Diseases
Orphan Drug
Mental Health
Stem Cell Research - Induced Pluripotent Stem Cell
Stem Cell Research
Congenital Structural Anomalies
Intellectual and Developmental Disabilities (IDD)
Stem Cell Research - Induced Pluripotent Stem Cell - Human
Pediatric
Autism
2.1 Biological and endogenous factors
Aetiology
Mental health
Neurological
Autistic Disorder
Calcium Channels
L-Type
Calcium Signaling
Cell Differentiation
Cell Line
Dopamine
Gene Expression Regulation
Humans
Induced Pluripotent Stem Cells
Long QT Syndrome
Microarray Analysis
Neurons
Norepinephrine
Phenotype
Purines
Roscovitine
Syndactyly
Tyrosine 3-Monooxygenase
Medical and Health Sciences
Immunology
Language
Abstract
Monogenic neurodevelopmental disorders provide key insights into the pathogenesis of disease and help us understand how specific genes control the development of the human brain. Timothy syndrome is caused by a missense mutation in the L-type calcium channel Ca(v)1.2 that is associated with developmental delay and autism. We generated cortical neuronal precursor cells and neurons from induced pluripotent stem cells derived from individuals with Timothy syndrome. Cells from these individuals have defects in calcium (Ca(2+)) signaling and activity-dependent gene expression. They also show abnormalities in differentiation, including decreased expression of genes that are expressed in lower cortical layers and in callosal projection neurons. In addition, neurons derived from individuals with Timothy syndrome show abnormal expression of tyrosine hydroxylase and increased production of norepinephrine and dopamine. This phenotype can be reversed by treatment with roscovitine, a cyclin-dependent kinase inhibitor and atypical L-type-channel blocker. These findings provide strong evidence that Ca(v)1.2 regulates the differentiation of cortical neurons in humans and offer new insights into the causes of autism in individuals with Timothy syndrome.