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In the central nervous system (CNS), myelin forming cells (oligodendrocytes, OLs) and their precursors (oligodendrocyte precursor cells, OPCs) are responsible for developmental myelination, a process which occurs during the peri- and post-natal periods, and for myelin turnover and repair (remyelination) in adulthood1. These cells are highly specialized, interacting anatomically and functionally with all the other glial and neuronal components, making them a fundamental part of CNS structure and function.
Demyelinating events are involved in different CNS injuries and diseases2, and mainly act on OPCs and OLs by way of multifactorial mechanisms, both during development and adulthood. The undifferentiated precursors are driven by differentiating factors, mainly thyroid hormone (TH), in a synchronized process3 which leads the OPC to recognize and respond to specific stimuli which induce proliferation, migration to the non-myelinated axon, and differentiation into mature OLs which in turn develop the myelin sheath4. All these processes are finely controlled and occur in a complex environment.
Due to the complex nature of myelination, remyelination and demyelination events, there is a great need for a simplified and reliable in vitro method to study the underlying mechanisms and to develop new therapeutic strategies, focusing on the main cellular player: the OPC5.
For an in vitro system to be reliable, a number of factors need to be taken into account: the complexity of the cellular environment, age-related cell-intrinsic differences, physiological TH-mediated differentiation, pathological mechanisms, and the robustness of the data6. Indeed, the unmet need in the field is a model which mimics the complexity of the in vivo condition, not successfully achieved through the use of isolated pure OPC cultures. In addition, the two main components of demyelinating events, inflammation and hypoxia/ischemia (HI), directly involve other cell components that may indirectly affect the physiological differentiation and maturation of OPCs, an aspect which cannot be studied in over-simplified in vitro models.
Starting from a highly predictive culture system, the subsequent and more general challenge is the production of robust and reliable data. In this context, cell-based high-content screening (HCS) is the most suitable technique7, since our aim is firstly to analyze the entire culture in an automatic workflow, avoiding the bias of choosing representative fields, and secondly to obtain the automatic and simultaneous generation of imaging-based high-content data8.
Given that the main need is to achieve the best balance between in vitro simplification and in vivo-mimicking complexity, here we present a highly reproducible method for obtaining OPCs derived from neural stem cells (NSCs) isolated from the fetal forebrain and the adult sub-ventricular zone (SVZ). This in vitro model encompasses the entire OPC differentiation process, from multipotent NSC to mature/myelinating OL, in a physiological TH-dependent manner. The resulting culture is a dynamically differentiating/maturating system which results in a spontaneous co-culture consisting mainly of differentiating OPCs and astrocytes, with a low percentage of neurons. This primary culture better mimics the complex in vivo environment, while its stem cell derivation allows simple manipulations to be performed to obtain the cell lineage enrichment desired.
On the contrary to other drug screening strategies using cell lines or pure cultures of primary OPCs, the method described here allows the study of the effect of pathological interferents or therapeutic molecules in a complex environment, without losing the focus on the desired cell type. The HCS workflow described permits an analysis of cell viability and lineage specification, as well as lineage-specific cell death and morphological parameters.