Abstract

Modelling rare neurogenetic diseases to develop new therapeutic strategies is highly challenging. The use of human-induced pluripotent stem cells (hiPSCs) is a powerful approach to obtain specialized cells from patients. For hereditary peripheral neuropathies, such as Charcot–Marie–Tooth disease (CMT) Type II, spinal motor neurons (MNs) are impaired but are very difficult to study. Although several protocols are available to differentiate hiPSCs into neurons, their efficiency is still poor for CMT patients. Thus, our goal was to develop a robust, easy, and reproducible protocol to obtain MNs from CMT patient hiPSCs. The presented protocol generates MNs within 20 days, with a success rate of 80%, using specifically chosen molecules, such as Sonic Hedgehog or retinoic acid. The timing and concentrations of the factors used to induce differentiation are crucial and are given hereby. We then assessed the MNs by optic microscopy, immunocytochemistry (Islet1/2, HB9, Tuj1, and PGP9.5), and electrophysiological recordings. This method of generating MNs from CMT patients in vitro shows promise for the further development of assays to understand the pathological mechanisms of CMT and for drug screening.

Highlights

  • Peripheral nerves are critical for the functioning of the nervous system, as they forward information to the spinal cord and encephalon and provide the periphery with adapted signals

  • Based on an extensive review of the literature and results obtained in our laboratory, we developed a robust and reproducible protocol to improve motor neurons (MNs) differentiation of human-induced pluripotent stem cells (hiPSCs) obtained from Charcot–Marie–Tooth disease (CMT) patients

  • We launched this study to define a robust protocol to obtain and differentiate cells obtained from CMT patients into MNs

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Summary

Introduction

Peripheral nerves are critical for the functioning of the nervous system, as they forward information to the spinal cord and encephalon and provide the periphery (muscles, organs, skin, blood vessels) with adapted signals. Peripheral nerve illnesses constitute an important source of medical problems and a large group of neurological diseases of various origins. Brain Sci. 2020, 10, 407; doi:10.3390/brainsci10070407 www.mdpi.com/journal/brainsci. Brain Sci. 2020, 10, 407 peripheral neuropathies, such as Charcot–Marie–Tooth disease (CMT) disease, have a prevalence of 1:2500 and often affect patients during their entire lives. The use of next-generation sequencing has tremendously improved the molecular diagnosis of these diseases in recent years by efficiently determining the mutations involved. Even when a gene mutation is identified, the molecular and cellular pathways involved in the pathophysiology remain difficult to decipher. Because of the numerous mutations and various genes involved, animal models are of limited utility and are highly difficult to study, aside from the potential ethical problems. In vitro cellular models appear to be a promising path for the expeditious development of therapeutic strategies

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