Cited by 45Neonatal and fetal brain pathologyNeurogenesis and neuroplasticity mechanismsFetal and Pediatric Neurological Disorders

Minocycline mitigates the effect of neonatal hypoxic insult on human brain organoids

Open access
Boisvert, Erin M., Means, Robert E., Michaud, Michael, Madri, Joseph A., Katz, Samuel G.·2019·Cell Death & Disease

Abstract

Neonatal hypoxic injury (NHI) is a devastating cause of disease that affects >60% of babies born with a very low birth weight, resulting in significant morbidity and mortality, including life-long neurological consequences such as seizures, cerebral palsy, and intellectual disability. Hypoxic injury results in increased neuronal death, which disrupts normal brain development. Although animal model systems have been useful to study the effects of NHI, they do not fully represent the uniqueness and complexities of the human brain. To better understand the effects of hypoxia on human brain development, we have generated a brain organoid protocol and evaluated these cells over the course of 6 months. As anticipated, the expression of a forebrain marker, FOXG1, increased and then remained expressed over time, while there was a transition in the expression of the deep-layer (TBR1) and upper-layer (SATB2) cortical markers. In addition, ventral genes (Eng1 and Nkx2.1) as well as markers of specialized nonneuronal cells (Olig2 and GFAP) also increased at later time points. We next tested the development of our in vitro cerebral organoid model at different oxygen concentrations and found that hypoxia repressed gene markers for forebrain, oligodendrocytes, glial cells, and cortical layers, as well as genes important for the migration of cortical neurons. In contrast, ventral markers were either unaffected or even increased in expression with hypoxic insult. Interestingly, the negative effect of hypoxia on the dorsal brain genes as well as oligodendrocytes, and neuronal progenitors could be mitigated by the use of minocycline, an FDA-approved small molecule. Taken together, we have generated a unique and relevant in vitro human brain model system to study diseases such as NHI as well as their potential treatments. Using this system, we have shown the efficacy of minocycline for human NHI.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41419-019-1553-x

Cites

6 of 6 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • These microglia/organoid models still suffer from variation of organoid size and composition, confounds stemming from organoid hypoxia/necrosis, and physical damage from microglia injection.

    “However, these microglia/organoid models still suffer from (1) variation of organoid size and composition; (2) confounds stemming from organoid hypoxia/necrosis; and (3) physical damage from microglia injection.29–31”

    From Tubular human brain organoids to model microglia-mediated neuroinflammation (2021) · cites this paper as [30]

    The Discussion (page unavailable) reports substantial batch-to-batch variability in several brain organoid systems and identifies necrosis as a potential concern in existing models. It does not specify variation in size and composition or discuss physical damage from microglia injection. The authors also report no apparent necrosis in their own organoids for up to 5–6 months. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

Self-check

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

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 38

  1. [2]Ment LR Change in cognitive function over time in very low-birth-weight infants JAMA 2003 289 705 711 10.1001/jama.289.6.705 12585948 · DOI
  2. [3]Millar LJ Shi L Hoerder-Suabedissen A Molnar Z Neonatal hypoxia ischaemia: mechanisms, models, and therapeutic challenges Front. Cell. Neurosci. 2017 11 78 10.3389/fncel.2017.00078 28533743 PMC5420571 · DOI
  3. [4]Blencowe H Preterm birth-associated neurodevelopmental impairment estimates at regional and global levels for 2010 Pediatr. Res. 2013 74 Suppl 1 17 34 10.1038/pr.2013.204 24366461 PMC3873710 · DOI
  4. [5]Mwaniki MK Atieno M Lawn JE Newton CR Long-term neurodevelopmental outcomes after intrauterine and neonatal insults: a systematic review Lancet 2012 379 445 452 10.1016/S0140-6736(11)61577-8 22244654 PMC3273721 · DOI · Paper page
  5. [6]Lee AC Intrapartum-related neonatal encephalopathy incidence and impairment at regional and global levels for 2010 with trends from 1990 Pediatr. Res. 2013 74 Suppl 1 50 72 10.1038/pr.2013.206 24366463 PMC3873711 · DOI
  6. [7]Rocha-Ferreira E Hristova M Plasticity in the neonatal brain following hypoxic-ischaemic injury Neural Plast. 2016 2016 4901014 10.1155/2016/4901014 27047695 PMC4800097 · DOI
  7. [8]Saigal S Doyle LW An overview of mortality and sequelae of preterm birth from infancy to adulthood Lancet 2008 371 261 269 10.1016/S0140-6736(08)60136-1 18207020 · DOI · Paper page
  8. [9]Brown J Quadrato G Arlotta P Studying the brain in a dish: 3D cell culture models of human brain development and disease Curr. Top. Dev. Biol. 2018 129 99 122 10.1016/bs.ctdb.2018.03.002 29801532 · DOI
  9. [10]Chen HI Song H Ming GL Applications of human brain organoids to clinical problems Dev. Dyn. 2019 248 53 64 10.1002/dvdy.24662 30091290 PMC6312736 · DOI
  10. [11]Camp JG Human cerebral organoids recapitulate gene expression programs of fetal neocortex development Proc. Natl Acad. Sci. USA 2015 112 15672 15677 10.1073/pnas.1508055112 26644564 PMC4697386 · DOI
  11. [13]Luo C Cerebral organoids recapitulate epigenomic signatures of the human fetal brain Cell Rep. 2016 17 3369 3384 10.1016/j.celrep.2016.12.001 28009303 PMC5495578 · DOI · Paper page
  12. [14]Boisvert, E. M., Denton, K., Lei, L. & Li, X. J. The specification of telencephalic glutamatergic neurons from human pluripotent stem cells. J. Vis. Exp. (2013). PMC3656538 23603787
  13. [15]Lancaster MA Knoblich JA Generation of cerebral organoids from human pluripotent stem cells Nat. Protoc. 2014 9 2329 2340 10.1038/nprot.2014.158 25188634 PMC4160653 · DOI
  14. [16]Lancaster MA Cerebral organoids model human brain development and microcephaly Nature 2013 501 373 379 10.1038/nature12517 23995685 PMC3817409 · DOI · Paper page
  15. [17]Zhang SC Wernig M Duncan ID Brustle O Thomson JA In vitro differentiation of transplantable neural precursors from human embryonic stem cells Nat. Biotechnol. 2001 19 1129 1133 10.1038/nbt1201-1129 11731781 · DOI
  16. [18]Garrido-Mesa N Zarzuelo A Galvez J What is behind the non-antibiotic properties of minocycline? Pharmacol. Res. 2013 67 18 30 10.1016/j.phrs.2012.10.006 23085382 · DOI
  17. [19]Plane JM Shen Y Pleasure DE Deng W Prospects for minocycline neuroprotection Arch. Neurol. 2010 67 1442 1448 10.1001/archneurol.2010.191 20697034 PMC3127230 · DOI
  18. [20]Macdonald H Kelly RG Allen ES Noble JF Kanegis LA Pharmacokinetic studies on minocycline in man Clin. Pharmacol. Ther. 1973 14 852 861 10.1002/cpt1973145852 4199710 · DOI
  19. [22]Bortolanza Mariza Nascimento Glauce C. Socias Sergio B. Ploper Diego Chehín Rosana N. Raisman-Vozari Rita Del-Bel Elaine Tetracycline repurposing in neurodegeneration: focus on Parkinson’s disease Journal of Neural Transmission 2018 125 10 1403 1415 10.1007/s00702-018-1913-1 30109452 · DOI
  20. [23]Seukeran DC Eady EA Cunliffe WJ Benefit-risk assessment of acne therapies Lancet 1997 349 1251 1252 10.1016/S0140-6736(05)62445-2 9130967 · DOI
  21. [24]Dansie LE Long-lasting effects of minocycline on behavior in young but not adult Fragile X mice Neuroscience 2013 246 186 198 10.1016/j.neuroscience.2013.04.058 23660195 PMC3813005 · DOI · Paper page
  22. [26]Li Q Modeling the neurovascular niche: unbiased transcriptome analysis of the murine subventricular zone in response to hypoxic insult PLoS ONE 2013 8 e76265 10.1371/journal.pone.0076265 24146847 PMC3795763 · DOI
  23. [27]Li Q The role of endothelial HIF-1 alphain the response to sublethal hypoxia in C57BL/6 mouse pups Lab. Investig. 2017 97 356 369 10.1038/labinvest.2016.154 28092362 · DOI
  24. [28]Li Q Michaud M Stewart W Schwartz M Madri JA Modeling the neurovascular niche: murine strain differences mimic the range of responses to chronic hypoxia in the premature newborn J. Neurosci. Res. 2008 86 1227 1242 10.1002/jnr.21597 18092360 PMC2644407 · DOI
  25. [29]Li Q Modulation of Sox10, HIF-1alpha, survivin, and YAP by minocycline in the treatment of neurodevelopmental handicaps following hypoxic insult Am. J. Pathol. 2015 185 2364 2378 10.1016/j.ajpath.2015.05.016 26209807 PMC5801488 · DOI
  26. [32]Silbereis JC Pochareddy S Zhu Y Li M Sestan N The cellular and molecular landscapes of the developing human central nervous system Neuron 2016 89 248 268 10.1016/j.neuron.2015.12.008 26796689 PMC4959909 · DOI · Paper page
  27. [33]Di Lullo E Kriegstein AR The use of brain organoids to investigate neural development and disease Nat. Rev. Neurosci. 2017 18 573 584 10.1038/nrn.2017.107 28878372 PMC5667942 · DOI · Paper page
  28. [34]Kelava I Lancaster MA Stem cell models of human brain development Cell Stem Cell 2016 18 736 748 10.1016/j.stem.2016.05.022 27257762 · DOI
  29. [35]Abraham J Fox PD Condello C Bartolini A Koh S Minocycline attenuates microglia activation and blocks the long-term epileptogenic effects of early-life seizures Neurobiol. Dis. 2012 46 425 430 10.1016/j.nbd.2012.02.006 22366182 PMC3323726 · DOI
  30. [36]Fan R Minocycline reduces microglial activation and improves behavioral deficits in a transgenic model of cerebral microvascular amyloid J. Neurosci. 2007 27 3057 3063 10.1523/JNEUROSCI.4371-06.2007 17376966 PMC6672462 · DOI
  31. [37]Liu Z Chronic treatment with minocycline preserves adult new neurons and reduces functional impairment after focal cerebral ischemia Stroke 2007 38 146 152 10.1161/01.STR.0000251791.64910.cd 17122429 · DOI
  32. [38]Tang M Minocycline reduces neuronal death and attenuates microglial response after pediatric asphyxial cardiac arrest J. Cereb. Blood Flow Metab. 2010 30 119 129 10.1038/jcbfm.2009.194 19756023 PMC2949095 · DOI
  33. [39]Ormel PR Microglia innately develop within cerebral organoids Nat. Commun. 2018 9 4167 10.1038/s41467-018-06684-2 30301888 PMC6177485 · DOI
  34. [40]Plane JM Liu R Wang TW Silverstein FS Parent JM Neonatal hypoxic-ischemic injury increases forebrain subventricular zone neurogenesis in the mouse Neurobiol. Dis. 2004 16 585 595 10.1016/j.nbd.2004.04.003 15262271 · DOI
  35. [41]Xu H Lu A Sharp FR Regional genome transcriptional response of adult mouse brain to hypoxia BMC Genomics 2011 12 499 10.1186/1471-2164-12-499 21988864 PMC3218040 · DOI
  36. [42]Li S Preconditioning in neuroprotection: from hypoxia to ischemia Prog. Neurobiol. 2017 157 79 91 10.1016/j.pneurobio.2017.01.001 28110083 PMC5515698 · DOI
  37. [43]Ran R Xu H Lu A Bernaudin M Sharp FR Hypoxia preconditioning in the brain Dev. Neurosci. 2005 27 87 92 10.1159/000085979 16046841 · DOI
  38. [44]Sharp FR Hypoxic preconditioning protects against ischemic brain injury NeuroRx 2004 1 26 35 10.1602/neurorx.1.1.26 15717005 PMC534910 · DOI

Cited by

Sorted by citations

Authors
Boisvert, E. M., Means, R. E., Michaud, M., Madri, J. A., & Katz, S. G.
Affiliations
Yale University (US)
Corresponding author
Katz, Samuel G.
Venue
Cell Death & Disease
Published
2019-04-11
Volume
10
Issue
4
Pages
325-325
ISSN
2041-4889 (ISSN-L)
OpenAlex
W2938338045
Cited by
45
References
6
Citations by year
2026: 5 · 2025: 9 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 2
FWCI
5.46
Type
journal article
Language
en
Open access
Locations
  • Cell Death and Disease (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Connecticut Innovations (Regenerative Medicine Research Fund)
  • March of Dimes Foundation
  • U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (R01HL131793)
  • U.S. Department of Health & Human Services | NIH | National Cancer Institute (CA193200)
  • Gift from Joseph and Lucille Madri.
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
  • Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
Keywords
minocycline, human brain organoids, hypoxia, brain development, FOXG1, Tbr1, SATB2, TTF-1, Olig2, glial fibrillary acidic protein, oligodendrocyte development, neuronal migration, oxygen concentration, very low birth weight, neuroprotection
MeSH terms
Human Embryonic Stem Cells, Brain, Hypoxia, Brain, Humans, Minocycline, Neurons, Organoids, Time Factors, Cell Death, Proto-Oncogene Proteins c-bcl-2, Hypoxia-Ischemia, Brain, SOXB1 Transcription Factors

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review