Cited by 175Alzheimer's disease research and treatmentsAmyotrophic Lateral Sclerosis ResearchNeuroinflammation and Neurodegeneration Mechanisms

The DOI matches its Crossref record; 113 of the 113 references it cites were found in a registry or an index; 49 of the 61 sources its claims cite were checked for support.

ELAVL4, splicing, and glutamatergic dysfunction precede neuron loss in MAPT mutation cerebral organoids

Open access

Abstract

Frontotemporal dementia (FTD) because of MAPT mutation causes pathological accumulation of tau and glutamatergic cortical neuronal death by unknown mechanisms. We used human induced pluripotent stem cell (iPSC)-derived cerebral organoids expressing tau-V337M and isogenic corrected controls to discover early alterations because of the mutation that precede neurodegeneration. At 2 months, mutant organoids show upregulated expression of MAPT, glutamatergic signaling pathways, and regulators, including the RNA-binding protein ELAVL4, and increased stress granules. Over the following 4 months, mutant organoids accumulate splicing changes, disruption of autophagy function, and build-up of tau and P-tau-S396. By 6 months, tau-V337M organoids show specific loss of glutamatergic neurons as seen in individuals with FTD. Mutant neurons are susceptible to glutamate toxicity, which can be rescued pharmacologically by the PIKFYVE kinase inhibitor apilimod. Our results demonstrate a sequence of events that precede neurodegeneration, revealing molecular pathways associated with glutamate signaling as potential targets for therapeutic intervention in FTD.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Human iPSC-derived cerebral organoids carrying the tau-V337M MAPT mutation show early ELAVL4 upregulation, glutamatergic/synaptic pathway changes, stress granules, splicing dysregulation, and autophagy-lysosomal dysfunction before later tau/P-tau accumulation and selective glutamatergic neuron loss. Glutamate-induced death of mutant neurons is rescued by PIKFYVE inhibition with apilimod or PIKFYVE ASO.

Key findings

  • At 2 months, tau-V337M organoids show upregulated MAPT, glutamatergic signaling pathways, and ELAVL4, plus increased stress granules; by 6 months they show selective loss of excitatory neurons in deep-layer (ExDp2, p = 0.004), maturing (ExM, p = 0.003), and newborn (ExN, p = 0.0001) categories, with no effect on interneurons or astrocytes.
  • Splicing dysregulation increases from 190 differentially spliced junctions at 2 months to over 5,000 at 6 months; tau and P-tau S396/total tau ratio increase between 4 and 6 months, while LAMP1 and CTSD are increased at 2 months and p62 and LC3-II are reduced at 6 months.
  • ELAVL4 binds MAPT RNA and co-localizes with tau and stress granule markers TIA1/G3BP1; over 50% of differentially spliced genes at later time points overlap with neuronal ELAVL-bound RNA.
  • Repeated 5 mM glutamate triggers more rapid loss of tau-V337M neurons than isogenic controls (p < 0.0001); apilimod fully rescues this death (p < 0.0001), and PIKFYVE ASO improves survival in mutant (p < 0.0001) but not control neurons (p = 0.5369).

Methods

  • Human iPSC lines from three tau-V337M donors and isogenic CRISPR-corrected controls (seven lines total) were differentiated into cerebral organoids and assessed at 2, 4, and 6 months.
  • Bulk RNA-seq was performed on 239 organoids (V337M n = 99, V337V n = 140); cell-hashing scRNA-seq was performed on 339 organoids, yielding 379,064 cells (V337M n = 161,706, V337V n = 217,358).
  • Analyses included SingleR annotation, Seurat/SCTransform, UMAP, Monocle3 pseudotime, GSEA/IPA, LeafCutter splicing, nELAVL RIP-seq intersection, pseudobulk network analysis, IHC/immunoblot/EM, and longitudinal Synapsin1::GFP neuron survival with glutamate, apilimod, or PIKFYVE ASO.

Limitations

  • Stated: low 4R tau expression in the organoid model may miss effects of mutant 4R protein; generalizability to other MAPT mutations and sporadic tauopathies is unknown; microglia are not included; glutamatergic signaling findings require comprehensive electrophysiological validation; and the relative contribution of the identified changes remains to be determined.
  • Evident from the text: organoid models do not accurately reflect adult aging, and variability between lines and individual organoids increased over time, indicating donor and clonal effects on long-term maturation.

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Integrity signals

Registry

Crossref · 10.1016/j.cell.2021.07.003

Cites

113 of 113 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

49 of 61 cited sources checked · 21 supported · 1 flagged · accuracy not yet measured

Show all 61 claims

  • Probably not a substantial claim. 35
  • It may state two separate claims as one. 23
53 of 53
  • The authors state this as an assumption.

    Organoid models do not accurately reflect adult aging.

    “Given that organoid models do not accurately reflect adult aging, it is interesting that we observed neurodegeneration.”
  • The paper relies on this without support.

    MAPT is alternatively spliced into 3R and 4R tau isoforms by exclusion or inclusion of exon 10.

    “MAPT is alternatively spliced, resulting in two major isoforms, 3R and 4R tau, defined by exclusion or inclusion of exon 10, respectively.”
  • The paper relies on this without support.

    Temporal analysis of human organoid models has revealed early pathological events in neurodegeneration.

    “Temporal analysis of human organoid models has revealed early pathological events in neurodegeneration.”
  • The paper relies on this without support.

    The organoid models have low 4R tau expression.

    “Given the low 4R tau expression in these organoid models”
4 of 4

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

  • Single-cell count exceeds the stated per-organoid range

    Minor

    The reported final dataset contains 379,064 cells from 339 organoids, or about 1,118 cells per organoid-above the stated approximate range of 800-1,000.

    Reported 1000 · recomputed 1118.182891

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Metadata

Authors
Bowles, K. R., Silva, M. C., Whitney, K., Bertucci, T., Berlind, J. E., Lai, J. D., Garza, J. C., Boles, N. C., Mahali, S., Strang, K. H., Marsh, J. A., Chen, C., Pugh, D. A., Liu, Y., Gordon, R. E., Goderie, S. K., Chowdhury, R., Lotz, S., Lane, K., Crary, J. F., Haggarty, S. J., Karch, C. M., Ichida, J. K., Goate, A. M., & Temple, S.
Affiliations
  • Icahn School of Medicine at Mount Sinai (US)
  • Harvard University (US)
  • Neural Stem Cell Institute (US)
  • University of Southern California (US)
  • Washington University in St. Louis (US)
Corresponding author
  • Goate, Alison M.
  • Temple, Sally
Venue
Cell
Publisher
Elsevier BV
Published
2021-08
Volume
184
Issue
17
Pages
4547-4563.e17
ISSN
0092-8674 (ISSN-L)
OpenAlex
W3183726003
Cited by
175
References
112
Citations by year
2026: 32 · 2025: 35 · 2024: 37 · 2023: 29 · 2022: 37 · 2021: 5
FWCI
14.05
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • National Institutes of Health (AG046374)
  • New York State Stem Cell Science (C029158)
  • National Institute of Neurological Disorders and Stroke (R35 NS097277, F31NS117075)
  • Harrington Discovery Institute, University Hospitals
  • Hope Center for Neurological Disorders
  • Eisai
  • Rainwater Charitable Foundation
  • New York Genome Center (U54NS092089, U01AG045390)
  • U.S. Department of Defense (W81XWH-21-1-0168, W81XWH-21-1-0131, W81XWH-20-1-0424)
  • National Institute on Aging (R01 AG056293, 2R01NS097850)
  • John Douglas French Alzheimer&apos;s Foundation
  • Biogen
  • ALS Association
  • Association for Frontotemporal Degeneration
  • AbbVie
  • BrightFocus Foundation
  • Genentech
  • Alzheimer&apos;s Drug Discovery Foundation
  • Denali Therapeutics
  • Tau Consortium
  • California Institute for Regenerative Medicine
  • New York Stem Cell Foundation
  • GlaxoSmithKline
  • Sächsische Aufbaubank
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
frontotemporal dementia, MAPT mutations, ELAVL4, RNA-binding proteins, alternative splicing, glutamatergic neurons, glutamate excitotoxicity, stress granules, autophagy, tau accumulation, brain organoids, iPSC-derived neurons, apilimod, neurodegeneration
MeSH terms
ELAV-Like Protein 4, Stress Granules, Autophagy, Cell Line, Humans, Hydrazones, Lysosomes, Morpholines, Mutation, Neurons, Organoids, Phosphorylation, Pyrimidines, RNA Splicing, Synapses, Signal Transduction, Biomarkers, Up-Regulation, tau Proteins, Cell Death, Glutamic Acid, Body Patterning, Cerebrum

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