Fragile X Syndrome (FXS), a common inherited form of intellectual disability and autism spectrum disorder (ASD), is caused by the lack of fragile X messenger ribonucleoprotein (FMRP) produced by the fragile X messenger ribonucleoprotein 1 (FMR1) gene (OMIM: #300624,Ā https://www.omim.org/entry/300624). FMRP plays a role in the regulation of mRNA translation, mRNA granule formation and transport, and microRNA-mediated regulation of gene expression1. Thus, loss of FMRP impacts not just brain development but also adult brain function. Both mRNA transcript levels of FMR1 and immunostaining for FMRP in the brain have shown high neuronal expression, alongside significant expression in glial cells as well2. However, a vast majority of earlier studies in animal models of FXS focused primarily on neurons and aberrations in their function. Consequently, little is known about the role of glia in FXS3. Traditionally thought of as "passive support" cells4, there is accumulating evidence for astrocytes being critical in mediating a wide range of neuronal functions5,6, including promoting synaptogenesis7, refinement of developing neural circuits8, and neurotransmitter recycling9. In parallel, there is growing evidence for the role of astrocytes in disease pathogenesis and many neurological conditions have been associated with astrocytic dysfunction10.
While much of the earlier work using animal models of FXS focused on identifying and validating various molecular targets in neurons for treating FXS, these preclinical findings have not always led to successful clinical outcomes. Further, setbacks in recent clinical trials also underscore the need for human-based model systems. Models of neurological disorders based on human stem cell-derived brain cells offer a powerful strategy to bridge this gap between mechanistic insights from animal studies and limited success with clinical outcomes for patients. However, only a handful of these studies have focused on astrocytes and that too mostly on astrocytes that were spinal in origin. This, in turn, is relevant in light of studies showing that the structure and function of astrocytes vary between brain regions11,12. Thus, a better understanding of disease-induced changes in human astrocytes also needs to take into account these brain region-specific differences in astrocytes. However, models of neurodevelopmental disorders using human stem cell-derived astrocytes that are specific to the forebrain remain comparatively underexplored13. Hence, to begin to address these gaps, we describe protocols for generating forebrain-specific astrocytes from patient-derived induced pluripotent stem cells (iPSCs) carrying FXS mutations; further, we show that astrocytes are functional and display altered metabolism.