The use of simpler organisms and mouse models has elucidated the mechanisms of basic brain development as well as disease pathogenesis. Despite these advances, the etiology of many neuropsychiatric disorders remains elusive because not all findings in simpler organisms are directly relevant to complex aspects of human disease. Further, the greater complexity of the human brain often makes it difficult to model human development and disorders in animals. With the evolution and progress of human induced pluripotent stem cells (hiPSCs) technology, somatic cells can be reprogrammed into stem cells and then differentiated into neuronal cells to study human disease. Advances in hiPSCs and "omic" technologies (genomics, transcriptomics, proteomics, metabolomics) promise to revolutionize the understanding of human brain development. These technologies now make possible a "precision medicine" approach to the characterization of neuropsychiatric disease on a case-by-case basis.
The current staple in the hiPSC disease-modeling field is to differentiate cells into specific neuronal subtypes in a monolayer or to use a 3D culture system called an organoid to recapitulate aspects of brain development1,2,3. These systems have been incredibly valuable in studying and uncovering unique aspects of human development and disease4,5,6,7. However, both neuronal cultures and organoids often require anywhere from weeks to months in culture before they are ready to study. The time-consuming nature of these protocols and the amount of resources needed to maintain these culture systems often limit the number of experiments that can be performed and the number of variables (like growth factors or drugs) that can be tested. Moreover, many studies utilizing post-mitotic neurons and organoids have focused on processes such as dendrite outgrowth or synapse formation, which occur later in development. While these processes have been implicated in the pathology of developmental disorders such as autism and schizophrenia, earlier developmental events that occur before definitive neuronal differentiation are also important for disease pathogenesis8,9,10,11,12,13. Indeed, recent genomic studies show that the mid-fetal period, which is comprised of proliferation, process outgrowth, and migration, is particularly important in autism pathogenesis11,14. Thus, it is important to study neural stem and progenitor cell populations to better understand these earlier processes. Organoid systems, which are considered to better recapitulate human brain development because of their 3D nature and organized structure, do contain a progenitor pool that has been utilized to study some of these earlier events. However, the progenitor population in organoids is often sparse and more like radial glial cells than neural stem or progenitor cells5,15. Thus, it would be beneficial to have a high throughput method to study early stages of neurodevelopment in an actively proliferative cell population.
In the lab, we have created a protocol that uses hiPSC-derived neural precursor cells (NPCs), a mixed population of neural stem and progenitor cells that is highly proliferative, to study neurodevelopmental processes such as proliferation, cell migration, and initial process (neurite) extension. These assays were developed from techniques used in our lab for decades to successfully study neurodevelopment in rat and mouse cortical cultures16,17,18,19,20,21,22,23. Importantly, it was also shown that phenotypes and regulatory signals defined in the rat and mouse culture systems are highly predictive of mechanisms that are active in vivo, indicating the value of these techniques16,17,18,19,24. After initial differentiation of hiPSCs to NPCs, these methods allow us to study vital developmental processes in a matter of days. These methods have many advantages: (1) they require little sophisticated equipment and are easy to implement, (2) numerous experimental replicates can be conducted in a short period of time, allowing for rapid confirmation of the reproducibility of results, and (3) culture variables such as coating matrices, effects of growth factors, and activity of drugs can be tested quickly and cost-effectively. Furthermore, we take advantage of the well-established role of extracellular growth factors as critical regulators of diverse developmental processes. NPCs were exposed to select developmental signals that directly stimulate events like proliferation, neurite outgrowth, and cell migration, and have found they enhance the ability to identify defects that are not apparent in control conditions19,25,26,27,28. Likewise, the ease of assessing drugs provides a powerful avenue to adopt precision medicine techniques to test the efficacy of various therapeutic interventions. Thus, this protocol facilitates a high throughput, reproducible, and straightforward methodology to study early brain development, disease pathogenesis, and the potential beneficial effects of growth factors and drugs on neurodevelopmental phenotypes.