Abstract

Schizophrenia (SZ) and autism spectrum disorders (ASD) are highly heritable neuropsychiatric disorders, although environmental factors, such as maternal immune activation (MIA), play a role as well. Cytokines mediate the effects of MIA on neurogenesis and behavior in animal models. However, MIA stimulators can also induce a febrile reaction, which could have independent effects on neurogenesis through heat shock (HS)-regulated cellular stress pathways. However, this has not been well-studied. To help understand the role of fever in MIA, we used a recently described model of human brain development in which induced pluripotent stem cells (iPSCs) differentiate into 3-dimensional neuronal aggregates that resemble a first trimester telencephalon. RNA-seq was carried out on aggregates that were heat shocked at 39°C for 24 hours, along with their control partners maintained at 37°C. 186 genes showed significant differences in expression following HS (p<0.05), including known HS-inducible genes, as expected, as well as those coding for NGFR and a number of SZ and ASD candidates, including SMARCA2, DPP10, ARNT2, AHI1 and ZNF804A. The degree to which the expression of these genes decrease or increase during HS is similar to that found in copy loss and copy gain copy number variants (CNVs), although the effects of HS are likely to be transient. The dramatic effect on the expression of some SZ and ASD genes places HS, and perhaps other cellular stressors, into a common conceptual framework with disease-causing genetic variants. The findings also suggest that some candidate genes that are assumed to have a relatively limited impact on SZ and ASD pathogenesis based on a small number of positive genetic findings, such as SMARCA2 and ARNT2, may in fact have a much more substantial role in these disorders - as targets of common environmental stressors.

Highlights

  • Schizophrenia (SZ) and autism spectrum disorders (ASD) are among the most heritable neuropsychiatric disorders

  • Aggregates are composed of SOX2 positive, radial glial-containing structures surrounded by a field of neurons that are primarily GABAergic and glutamatergic

  • maternal immune activation (MIA) can be viewed from two broad perspectives, which may have independent and overlapping effects on neurogenesis through the direct effects of immune cytokines that bind to their specific receptors on neurons, and by fever, which activates cellular stress pathways

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Summary

Introduction

Schizophrenia (SZ) and autism spectrum disorders (ASD) are among the most heritable neuropsychiatric disorders. The effects of MIA are mediated by a balance between proinflammatory and anti-inflammatory cytokines, such as interleukins 1b, 6, 10 and 13 [27,34,35,36] These cytokines are especially interesting in the context of neuropsychiatric disorders because they have well-established effects on neurogenesis and brain development, which could influence behavior in adult offspring. One model that is commonly used to test the effects of MIA is to treat pregnant animals with cytokines or agents that mimic exposure to infectious organisms, such as bacterial endotoxin (lipopolysaccharide; LPS), and polyinosinic: polycytidylic acid (poly I:C), after which the effects on behavior and neuronal function in the offspring are analyzed. Prenatal exposure to LPS has similar effects on brain development and long-term behavioral effects on offspring [42,43,44,45,46,47]

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