The DOI matches its Crossref record; 229 of the 229 references it cites were found in a registry or an index; 135 of the 246 sources its claims cite were checked for support.
Consequences of trisomy 21 for brain development in Down syndrome
Open accessAbstract
The appearance of cognitive deficits and altered brain morphology in newborns with Down syndrome (DS) suggests that these features are driven by disruptions at the earliest stages of brain development. Despite its high prevalence and extensively characterized cognitive phenotypes, relatively little is known about the cellular and molecular mechanisms that drive the changes seen in DS. Recent technical advances, such as single-cell omics and the development of induced pluripotent stem cell (iPSC) models of DS, now enable in-depth analyses of the biochemical and molecular drivers of altered brain development in DS. Here, we review the current state of knowledge on brain development in DS, focusing primarily on data from human post-mortem brain tissue. We explore the biological mechanisms that have been proposed to lead to intellectual disability in DS, assess the extent to which data from studies using iPSC models supports these hypotheses, and identify current gaps in the field.
Overview
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TL;DR
This review synthesizes evidence from human post-mortem tissue and iPSC models on how trisomy 21 disrupts cortical development in Down syndrome, implicating reduced neurogenesis, altered gliogenesis/myelination, and synaptic/network deficits. It argues that heterochrony—altered developmental timing—may reconcile seemingly contradictory findings and highlights major gaps in human tissue and model systems.
Key findings
- Brain structural and cellular deficits emerge early: temporal and frontal lobes can have up to 50% fewer cells in individuals with DS than in healthy individuals, while the parietal lobe is largely preserved; cognitive and brain-structure deficits appear as early as 6 months of age.
- Reduced neurogenesis is supported by fewer neurons in fetal cortex, cerebellum, and hippocampus, fewer proliferating cells (Ki67/cyclin markers), and fewer SOX2+ progenitors, but existing data do not distinguish slower progenitor proliferation from premature cell cycle exit.
- Altered gliogenesis and myelination include increased astrocytes in fetal DS brain and T21 iPSC cultures, transcriptomic evidence of defective oligodendrocyte differentiation and myelination, and increased OLIG2+ progenitors in some iPSC studies.
- Synaptic and network deficits include fewer dendritic spines and abnormal spine morphology in infants with DS as young as 2 months, reduced late-fetal postsynaptic density width/length, reduced excitatory synaptic density and transmission in T21 iPSC-derived neurons, little to no LTP/LTD in vitro, reduced alpha power at 6 months, and disrupted or absent sleep spindles in the first year.
Methods
- Design: narrative review focused primarily on human post-mortem brain tissue and human iPSC/stem cell models, with mouse models discussed for comparison.
- Data/sample: published studies spanning prenatal to adult human brain, including transcriptomic (microarray) analysis of cortex and cerebellum, histological and electron microscopy studies, electrophysiology, EEG, and iPSC-derived neural cells/organoids; no new primary data are presented.
- Analysis: synthesis of proposed mechanisms across neurodevelopmental phases—progenitor proliferation, neurogenesis, gliogenesis, neuronal migration, and synaptogenesis—and assessment of how well iPSC models support hypotheses and where gaps remain.
Limitations
- Stated in the paper: limited availability of human brain tissue, especially from prenatal periods, means post-mortem DS studies are often underpowered; mouse models cannot fully replicate human T21 because HSA21 genes are localized on at least three murine chromosomes and species neurodevelopment differs; iPSC models have variability, limited functional maturation, reduced complexity, and immaturity.
- Stated in the paper: iPSC results on neurogenesis and cell death are discordant; interneuron and oligodendrocyte data are limited; no comprehensive in vivo picture exists across development, and the impact of T21 on cortical arealization is completely unknown.
- Evident from the text: as a narrative review, it does not use a systematic search protocol or quantitative synthesis, and its conclusions rely on heterogeneous studies and model systems.
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Claims the paper makes
135 of 246 cited sources checked · 51 supported · 2 flagged · accuracy not yet measured
Some cited sources support this claim and some don’t — read each source’s verdict below.
In the paper
“Evidence from iPSCs differentiated to ventral forebrain-like interneuron progenitors indicates that the number of progenitors that are produced is different in the presence of T21 (84,90,91).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Supportedcites [84] Giffin-Rao, Y. et al. Altered patterning of trisomy 21 interneuron progenitors. Stem Cell Rep. 17, 1366–1379 (2022). source
The Discussion section, “Specification of interneuron progenitors is altered by Ts21” (page not supplied), reports that Ts21 iPSCs generate fewer COUP-TFII+ progenitors, although NKX2.1+ MGE progenitors are unchanged. This supports the claim that progenitor numbers differ with trisomy 21. (LLM, conf=0.93)
- Disputedcites [90] Huo, H. Q. et al. Modeling Down syndrome with patient iPSCs reveals cellular and migration deficits of GABAergic neurons. Stem Cell Rep. 10, 1251–1266 (2018). sourceExperimental — accuracy not yet measured
The Discussion states that cortical inhibitory neural progenitors are generated similarly from Down syndrome and euploid iPSCs, contrary to the claimed difference in progenitor production. The Results likewise report similar efficiency in generating GABAergic interneurons, while identifying differences in their morphology. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
- Supportedcites [91] Xu, R. et al. OLIG2 drives abnormal neurodevelopmental phenotypes in human iPSC-based organoid and chimeric mouse models of Down syndrome. Cell Stem Cell 24, 908–926.e8 (2019). This study shows that trisomy 21 iPSCs overproduce OLIG2+ ventral forebrain neural progenitors and GABAergic neurons in organoids and in chimeric mouse brains. source
The Results section on abnormal OLIG2 expression reports that ventral forebrain organoids derived from trisomic hiPSCs had a significantly higher percentage of OLIG2+ cells than control organoids (about 70% versus 40%). This supports the claim that trisomy 21 changes the production of this ventral forebrain progenitor population, although the reported comparison is a percentage rather than an absolute cell count; page numbers were not available in our copy. (LLM, conf=0.87)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Because of the limited availability of human brain tissue, especially from prenatal developmental periods, studies on the post-mortem DS brain are often underpowered17.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Supportedcites [17] Risgaard, K. A., Sorci, I. A., Mohan, S. & Bhattacharyya, A. Meta-analysis of Down syndrome cortical development reveals underdeveloped state of the science. Front. Cell Neurosci. 16, 915272 (2022). source
The Discussion’s “Limited Information” section says human Down syndrome brain tissue, especially prenatal tissue, is inaccessible. The “Summary” reports that many post-mortem studies have small samples and few Down syndrome samples, limiting generalizable conclusions. Together, these passages support the citing sentence; page numbers are not provided in our copy. (LLM, conf=0.90)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“There is evidence that neurodevelopmental impairment and neuronal dysfunction contribute to the hallmark cognitive deficits observed in individuals with DS8,9.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Not checked — no full text of the sourcecites [8] Menghini, D., Costanzo, F. & Vicari, S. Relationship between brain and cognitive processes in Down syndrome. Behav. Genet. 41, 381–393 (2011). This study has compared grey matter density in adolescents with Down syndrome to controls and has correlated the data with neuropsychological measures. source
- Supportedcites [9] Carducci, F. et al. Whole-brain voxel-based morphometry study of children and adolescents with Down syndrome. Funct. Neurol. 28, 19–28 (2013). source
The Introduction (page unavailable) describes delayed brain maturation and cortical dysgenesis in children with Down syndrome. The Discussion (page unavailable) links hippocampal loss of functionality to learning deficits and implicates frontal-lobe abnormalities in cognitive deficits. These passages support the citing sentence’s hedged claim. (LLM, conf=0.87)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesEvery source the paper cites for this claim was checked and supports it.
In the paper
“Human induced pluripotent stem cells (iPSCs) generated from somatic cells of individuals with DS provide another approach to interrogate the cellular and molecular mechanisms underlying altered neural development in human cells28 (Boxes 1 and 2).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Supportedcites [28] Zhao, X. & Bhattacharyya, A. Human models are needed for studying human neurodevelopmental disorders. Am. J. Hum. Genet. 103, 829–857 (2018). source
The indexed copy (section labeled Abstract; page unavailable) says that human iPSCs are derived from somatic cells and can reveal cellular and molecular events underlying abnormal neural development. It also reports that studies using Down syndrome iPSCs have identified neurodevelopmental deficits, including in neurogenesis and synaptogenesis. (LLM, conf=0.91)
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“These models have allowed the scientific community to make incredible advances in deciphering the mechanisms governing brain development and function, as well as the consequences of DS-related manipulations for those mechanisms18–22.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Supportedcites [18] Freeburn, A. & Munn, R. G. K. Signalling pathways contributing to learning and memory deficits in the Ts65Dn mouse model of Down syndrome. Neuronal Signal. 5, Ns20200011 (2021). source
The “Animal models of DS” section (page unavailable) says transgenic mouse models were developed to study genotype–phenotype interactions, identify dosage-sensitive genes, and investigate potential therapeutic targets. It also compares the models’ neurobiological, anatomical, and behavioural features, supporting the broad claim that they have advanced understanding of Down syndrome-related changes in brain development and function. (LLM, conf=0.87)
- Supportedcites [19] Ishihara, K. Genes associated with disturbed cerebral neurogenesis in the embryonic brain of mouse models of Down syndrome. Genes 12, 1598 (2021). source
Section 3 describes how Down syndrome mouse models have been used to study prenatal neurogenesis, brain morphology, learning and memory, and the effects of extra gene copies. Section 5 says analyses of these models have identified genes related to impaired neurogenesis, supporting the claim that they have advanced understanding of brain development and the consequences of Down syndrome-related genetic changes. Page numbers are not provided in our copy. (LLM, conf=0.88)
- Supportedcites [20] Moyer, A. J., Gardiner, K. & Reeves, R. H. All creatures great and small: new approaches for understanding Down syndrome genetics. Trends Genet. 37, 444–459 (2021). source
The “Beyond Ts65Dn” section (page not provided) says mouse models have made major contributions to understanding the consequences of gene-dosage imbalance in Down syndrome. Its iPSC-based chimeric models subsection describes findings on neural development, synaptic plasticity, and the effects of altering OLIG2 expression, supporting the claim about brain development and function. (LLM, conf=0.91)
- Partly supportedcites [21] Tosh, J., Tybulewicz, V. & Fisher, E. M. C. Mouse models of aneuploidy to understand chromosome disorders. Mamm. Genome 33, 157–168 (2022). sourceExperimental — accuracy not yet measured
The “Current mammalian models of aneuploidy” section (page unavailable) describes how Down syndrome mouse models reveal effects of gene-dosage manipulations on behaviour and cognition, supporting the brain-function portion of the claim. Our copy does not show that these models have deciphered mechanisms governing brain development; it also notes that existing models cannot isolate the effects of aneuploidy itself from gene dosage. (LLM, conf=0.82)
- Supportedcites [22] Haydar, T. F. & Reeves, R. H. Trisomy 21 and early brain development. Trends Neurosci. 35, 81–91 (2012). source
The “Mouse models of Down syndrome and gene effects” section describes how mouse models reveal the effects of trisomy on brain development and function. It gives examples involving neural phenotypes, overexpressed genes, and altered signaling. The supplied passages do not specify page numbers. (LLM, conf=0.91)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Gross anatomical differences in brain structure are apparent in the fetal and neonatal brains of individuals with DS, including reductions in overall brain volume, white matter volume, gyral complexity, sulcal depth and growth of the cortical plate6,8–15.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Partly supportedcites [6] Fukami-Gartner, A. et al. Comprehensive volumetric phenotyping of the neonatal brain in Down syndrome. Cereb. Cortex 33, 8921–8941 (2023). sourceExperimental — accuracy not yet measured
The Results section reports smaller whole-brain and cerebral white-matter volumes in neonates with Down syndrome. The Discussion also reports reduced fetal whole-brain volume and lower sulcal depth and gyrification index from earlier studies. Our copy does not establish reduced growth of the cortical plate, so that element of the attributed claim is unsupported. Page numbers are unavailable in the indexed passages. (LLM, conf=0.86)
- Not checked — no full text of the sourcecites [8] Menghini, D., Costanzo, F. & Vicari, S. Relationship between brain and cognitive processes in Down syndrome. Behav. Genet. 41, 381–393 (2011). This study has compared grey matter density in adolescents with Down syndrome to controls and has correlated the data with neuropsychological measures. source
- Partly supportedcites [9] Carducci, F. et al. Whole-brain voxel-based morphometry study of children and adolescents with Down syndrome. Funct. Neurol. 28, 19–28 (2013). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [10] Baburamani, A. A., Patkee, P. A., Arichi, T. & Rutherford, M. A. New approaches to studying early brain development in Down syndrome. Dev. Med. Child Neurol. 61, 867–879 (2019). This paper reviews recent advances in magnetic resonance imaging that allow non-invasive visualization of the macrostructure and microstructure of the fetal and neonatal Down syndrome brain. sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [11] Baburamani, A. A. et al. Assessment of radial glia in the frontal lobe of fetuses with Down syndrome. Acta Neuropathol. Commun. 8, 141 (2020). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [12] McCann, B. et al. Structural magnetic resonance imaging demonstrates volumetric brain abnormalities in Down syndrome: newborns to young adults. Neuroimage Clin. 32, 102815 (2021). sourceExperimental — accuracy not yet measured
The Discussion reports smaller absolute brain volumes and reduced white-matter volumes in several regions in the Down syndrome cohort; it also cites other studies finding abnormal fetal brain development. This paper's own age cohorts begin at birth, and the passages do not establish reduced gyral complexity, sulcal depth, or cortical-plate growth in fetal or neonatal brains. The copy provides no page numbers for these passages. (LLM, conf=0.86)
- Partly supportedcites [13] Tarui, T. et al. Quantitative MRI analyses of regional brain growth in living fetuses with Down syndrome. Cereb. Cortex 30, 382–390 (2020). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [14] Yun, H. J. et al. Regional alterations in cortical sulcal depth in living fetuses with Down syndrome. Cereb. Cortex 31, 757–767 (2021). sourceExperimental — accuracy not yet measured
The Abstract and Discussion report reduced average sulcal depth and gyrification in fetuses with Down syndrome. The Introduction describes altered cortical-plate growth and cites smaller brains and reduced white-matter volume in children, but does not establish all those reductions in fetuses or neonates. The Discussion specifically says a previous fetal study found no difference in whole-brain volume. (LLM, conf=0.90)
- Partly supportedcites [15] Shiohama, T., Levman, J., Baumer, N. & Takahashi, E. Structural magnetic resonance imaging-based brain morphology study in infants and toddlers with Down syndrome: the effect of comorbidities. Pediatr. Neurol. 100, 67–73 (2019). sourceExperimental — accuracy not yet measured
The Discussion reports reduced cerebellar gray-matter volume at birth, and the Results report reduced right cerebellar white-matter volume in infants and toddlers with Down syndrome. But the Results find no statistically significant difference in total intracranial or cortical white-matter volume. The paper does not establish the claimed fetal reductions in gyral complexity, sulcal depth, or cortical-plate growth. Page numbers were not available in our copy. (LLM, conf=0.88)
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“However, this neuroanatomical evidence is insufficient on its own to explain the neurodevelopmental deficits and biological processes that drive intellectual disability16.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Partly supportedcites [16] Hamner, T., Udhnani, M. D., Osipowicz, K. Z. & Lee, N. R. Pediatric brain development in Down syndrome: a field in its infancy. J. Int. Neuropsychol. Soc. 24, 966–976 (2018). sourceExperimental — accuracy not yet measured
The Summary of DS Imaging Findings says existing studies cannot yet provide a developmentally informed model of brain development in Down syndrome. The State of the Literature conclusion likewise says the lack of longitudinal imaging limits understanding of how neuroanatomic and cognitive-behavioral phenotypes unfold. These passages support the insufficiency of current neuroanatomical evidence, but do not specifically establish what biological processes drive intellectual disability. (LLM, conf=0.79)
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Moreover, the underlying biological mechanisms that lead to altered formation of the cortex in individuals with DS may not be reflected in the mouse models that do exist, owing to differences in neurodevelopment across species23–27.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Partly supportedcites [23] Sousa, A. M. M., Meyer, K. A., Santpere, G., Gulden, F. O. & Sestan, N. Evolution of the human nervous system function, structure, and development. Cell 170, 226–247 (2017). sourceExperimental — accuracy not yet measured
The Developmental Mechanisms section (page unavailable) describes differences between human and non-primate cortical development. Functional Modeling (page unavailable) says species differences complicate interpretation of mouse studies. These passages support the general caution, but the paper does not establish that existing Down syndrome mouse models fail to reflect mechanisms of altered cortical formation in people with Down syndrome. (LLM, conf=0.82)
- Not checked — no full text of the sourcecites [24] Sherwood, C. C., Bauernfeind, A. L., Bianchi, S., Raghanti, M. A. & Hof, P. R. Human brain evolution writ large and small. Prog. Brain Res. 195, 237–254 (2012). source
- Partly supportedcites [25] Silbereis, J. C., Pochareddy, S., Zhu, Y., Li, M. & Sestan, N. The cellular and molecular landscapes of the developing human central nervous system. Neuron 89, 248–268 (2016). This comprehensive review highlights the molecular and cellular processes of the developing human CNS, with focus on the cerebral neocortex. sourceExperimental — accuracy not yet measured
The Introduction (page not available in our copy) says animal models cannot fully reproduce human neurodevelopment or disorders and describes interspecies differences in cortical development. It does not specifically address Down syndrome, altered cortical formation in people with Down syndrome, or existing Down syndrome mouse models. (LLM, conf=0.83)
- Partly supportedcites [26] Lui, J. H., Hansen, D. V. & Kriegstein, A. R. Development and evolution of the human neocortex. Cell 146, 18–36 (2011). sourceExperimental — accuracy not yet measured
The Introduction says that species differences limit how well rodent neocortices can model human cortical development. It does not address Down syndrome or test whether existing Down syndrome mouse models reflect the mechanisms of altered cortical formation. (LLM, conf=0.84)
- Partly supportedcites [27] Geschwind, D. H. & Rakic, P. Cortical evolution: judge the brain by its cover. Neuron 80, 633–647 (2013). sourceExperimental — accuracy not yet measured
The sections on neoteny and human cortical lamination describe differences in cortical development and gene-expression patterns across species, including humans and mice. The paper does not address Down syndrome or establish that existing Down syndrome mouse models fail to reflect the mechanisms of altered cortical formation. (LLM, conf=0.84)
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Partly supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“Evidence for specific deficits in late-born upper-layer neurons in DS from observations of post-mortem tissue further suggests that specific temporally defined progenitors are affected41,84.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [41] Golden, J. A. & Hyman, B. T. Development of the superior temporal neocortex is anomalous in trisomy 21. J. Neuropathol. Exp. Neurol. 53, 513–520 (1994). This analysis of stereological cell counts performed in one neocortical area during gestation in normal development and in trisomy 21 suggests that the emergence of lamination is disrupted in trisomy 21. source
- Supportedcites [84] Giffin-Rao, Y. et al. Altered patterning of trisomy 21 interneuron progenitors. Stem Cell Rep. 17, 1366–1379 (2022). source
The Results (Fewer interneurons in DS cortex; page unavailable) report a possible reduction in CR+ upper-layer interneurons in post-mortem DS tissue, though the difference was not statistically significant (p = 0.11). The Discussion (Specification of interneuron progenitors is altered by Ts21; page unavailable) says these neurons are likely derived from late-born COUP-TFII+ progenitors and suggests that reduced progenitor pools could affect late-born neurons. This supports the citing sentence’s tentative inference. (LLM, conf=0.88)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesThe cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Furthermore, the number of progenitors, identified by their expression of the transcription factor SOX2, is also reduced in post-mortem brain tissue from individuals with DS11.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Partly supportedcites [11] Baburamani, A. A. et al. Assessment of radial glia in the frontal lobe of fetuses with Down syndrome. Acta Neuropathol. Commun. 8, 141 (2020). sourceExperimental — accuracy not yet measured
The Results report fewer SOX2-positive cells in the outer subventricular zone of Down syndrome fetal brains than in age-matched controls. The claim omits that this finding concerns a specific region and gestational period; the Discussion also calls it inconclusive because of the small number of cases. (LLM, conf=0.84)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Partly supported
- It may state two separate claims as one. 44
- Probably not a substantial claim. 10
Some cited sources support this claim and some don’t — read each source’s verdict below.
In the paper
“Several studies have shown that fewer interneurons are present in the cortex of individuals with DS44,46,84 than in that of controls, suggesting that reduced generation of interneurons contributes to the overall reduced neurogenesis in DS.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Disputedcites [44] Guidi, S. et al. Abnormal development of the inferior temporal region in fetuses with Down syndrome. Brain Pathol. 28, 986–998 (2018). This study reveals reduced thickness and fewer neurons in the fusiform and temporal gyrus of fetuses with Down syndrome than in those of controls. sourceExperimental — accuracy not yet measured
Split into 2 atoms — 0 confirmed, 0 partially supported, 2 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Checked by a reasoning model — may be wrong.
- Not checked — no full text of the sourcecites [46] Ross, M. H., Galaburda, A. M. & Kemper, T. L. Down’s syndrome: is there a decreased population of neurons? Neurology 34, 909–916 (1984). In a small sample size of whole-brain sections, this research has observed fewer granular, presumably aspinous stellate, neurons in Down syndrome brains than in controls. source
- Partly supportedcites [84] Giffin-Rao, Y. et al. Altered patterning of trisomy 21 interneuron progenitors. Stem Cell Rep. 17, 1366–1379 (2022). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Disputed
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Although these models come with their own limitations, including variability and limited functional maturation (Box 1), the differentiation of iPSCs into neural cells recapitulates many of the neurodevelopmental features observed in prenatal human tissue and occurs in a temporal sequence that roughly corresponds to in vivo corticogenesis29–31.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Partly supportedcites [29] Tao, Y. & Zhang, S. C. Neural subtype specification from human pluripotent stem cells. Cell Stem Cell 19, 573–586 (2016). sourceExperimental — accuracy not yet measured
The Challenges and future directions sections say hPSC neural differentiation mirrors in vivo development and that derived neurons resemble fetal-brain neurons in gene-expression profiles. The subtype-progenitor section describes a cortical sequence matching development, but its stem-cell example uses mouse ESCs; it does not establish that human iPSC-derived cortical cells follow that sequence. (LLM, conf=0.83)
- Partly supportedcites [30] Qi, Y. et al. Combined small-molecule inhibition accelerates the derivation of functional cortical neurons from human pluripotent stem cells. Nat. Biotechnol. 35, 154–163 (2017). sourceExperimental — accuracy not yet measured
The Phenotypic analysis of CNS and cortical neuron identity section (page unavailable) reports successive waves of cell birth and a temporal order of cortical-layer marker expression consistent with in vivo corticogenesis. It does not establish the broader claim that the cultures recapitulate many features observed in prenatal human tissue. (LLM, conf=0.84)
- Supportedcites [31] Kim, D. S., Ross, P. J., Zaslavsky, K. & Ellis, J. Optimizing neuronal differentiation from induced pluripotent stem cells to model ASD. Front. Cell Neurosci. 8, 109 (2014). source
In “Generation of excitatory projection neurons from hPSCs” (page unavailable), the review says a cortical differentiation method reproduced progenitor populations seen in the developing human brain and produced cortical neurons in a temporal pattern paralleling in vivo corticogenesis. In “Deriving neurons from hPSCs to model neurodevelopmental disorders” (page unavailable), it reports a close expression-profile similarity to human frontal cortex at 8–10 weeks post-conception. (LLM, conf=0.90)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“These cognitive and brain structure deficits emerge as early as 6 months of age and progress to have substantial impacts on daily life, as well as academic and occupational outcomes5–7.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Not checked — no full text of the sourcecites [5] Fidler, D. J., Hepburn, S. L., Mankin, G. & Rogers, S. J. Praxis skills in young children with Down syndrome, other developmental disabilities, and typically developing children. Am. J. Occup. Ther. 59, 129–138 (2005). source
- Partly supportedcites [6] Fukami-Gartner, A. et al. Comprehensive volumetric phenotyping of the neonatal brain in Down syndrome. Cereb. Cortex 33, 8921–8941 (2023). sourceExperimental — accuracy not yet measured
The Introduction describes cognitive weaknesses in Down syndrome, and the Discussion reports brain-volume differences in neonates. The paper does not establish that cognitive deficits emerge at six months or that these deficits progress to affect daily life, academic outcomes, and occupational outcomes; its Conclusion says the link between neonatal brain development and later outcomes remains unclear. No page numbers were available in our copy. (LLM, conf=0.86)
- Not checked — no full text of the sourcecites [7] Pinter, J. D., Eliez, S., Schmitt, J. E., Capone, G. T. & Reiss, A. L. Neuroanatomy of Down’s syndrome: a high-resolution MRI study. Am. J. Psychiatry 158, 1659–1665 (2001). This high-resolution MRI study confirms that volumetric brain differences occur at early ages in Down syndrome. source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
Every source the paper cites for this claim was checked and supports it.
In the paper
“Interestingly, in one study, when neurons were generated from T21 and euploid iPSCs through directed differentiation, no significant differences in neuron production between genotypes were detected, but when the same cell lines were allowed to spontaneously differentiate, the trisomic lines produced a significantly decreased percentage of neurons82.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Supportedcites [82] Chen, C. et al. Role of astroglia in Down’s syndrome revealed by patient-derived human-induced pluripotent stem cells. Nat. Commun. 5, 4430 (2014). This study identifies a role for astrocytes in regulating neuronal function in Down syndrome pathogenesis using trisomy 21 iPSC-derived neurons and astrocytes in co-cultures, drug treatment and chimeric mouse brains. source
Split into 2 atoms — 2 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Together, the presence of fewer cycling cells and the reduced number of progenitors both support the suggestion that neurogenesis is reduced during development in DS, although these data do not distinguish between slower progenitor proliferation or premature progenitor cell cycle exit.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [40] Contestabile, A. et al. Cell cycle alteration and decreased cell proliferation in the hippocampal dentate gyrus and in the neocortical germinal matrix of fetuses with Down syndrome and in Ts65Dn mice. Hippocampus 17, 665–678 (2007). source
- Not checked — no full text of the sourcecites [42] Guidi, S. et al. Neurogenesis impairment and increased cell death reduce total neuron number in the hippocampal region of fetuses with Down syndrome. Brain Pathol. 18, 180–197 (2008). source
- Supportedcites [43] Guidi, S., Ciani, E., Bonasoni, P., Santini, D. & Bartesaghi, R. Widespread proliferation impairment and hypocellularity in the cerebellum of fetuses with Down syndrome. Brain Pathol. 21, 361–373 (2011). source
Split into 2 atoms — 2 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [44] Guidi, S. et al. Abnormal development of the inferior temporal region in fetuses with Down syndrome. Brain Pathol. 28, 986–998 (2018). This study reveals reduced thickness and fewer neurons in the fusiform and temporal gyrus of fetuses with Down syndrome than in those of controls. sourceExperimental — accuracy not yet measured
Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [47] Stagni, F. et al. Subicular hypotrophy in fetuses with Down syndrome and in the Ts65Dn model of Down syndrome. Brain Pathol. 29, 366–379 (2019). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Not checked — no full text of the sourcecites [50] Stagni, F., Giacomini, A., Emili, M., Guidi, S. & Bartesaghi, R. Neurogenesis impairment: an early developmental defect in Down syndrome. Free Radic. Biol. Med. 114, 15–32 (2018). source
- Partly supportedcites [64] Stagni, F. et al. Neuroanatomical alterations in higher-order thalamic nuclei of fetuses with Down syndrome. Clin. Neurol. Neurosurg. 194, 105870 (2020). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [11] Baburamani, A. A. et al. Assessment of radial glia in the frontal lobe of fetuses with Down syndrome. Acta Neuropathol. Commun. 8, 141 (2020). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“The fetal cortex, cerebellum and hippocampus have all been shown to contain fewer neurons in individuals with DS than in controls40–48, albeit based on small sample sizes17.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [40] Contestabile, A. et al. Cell cycle alteration and decreased cell proliferation in the hippocampal dentate gyrus and in the neocortical germinal matrix of fetuses with Down syndrome and in Ts65Dn mice. Hippocampus 17, 665–678 (2007). source
- Not checked — no full text of the sourcecites [41] Golden, J. A. & Hyman, B. T. Development of the superior temporal neocortex is anomalous in trisomy 21. J. Neuropathol. Exp. Neurol. 53, 513–520 (1994). This analysis of stereological cell counts performed in one neocortical area during gestation in normal development and in trisomy 21 suggests that the emergence of lamination is disrupted in trisomy 21. source
- Not checked — no full text of the sourcecites [42] Guidi, S. et al. Neurogenesis impairment and increased cell death reduce total neuron number in the hippocampal region of fetuses with Down syndrome. Brain Pathol. 18, 180–197 (2008). source
- Supportedcites [43] Guidi, S., Ciani, E., Bonasoni, P., Santini, D. & Bartesaghi, R. Widespread proliferation impairment and hypocellularity in the cerebellum of fetuses with Down syndrome. Brain Pathol. 21, 361–373 (2011). source
The Discussion reports fewer cerebellar granule cells and Purkinje cells in fetuses with Down syndrome than in controls. The Introduction also describes prior evidence of hypocellularity and reduced neurogenesis in cortical and hippocampal regions; this paper does not itself measure neurons in all three regions. The Methods report a small sample of seven Down syndrome fetuses and six controls. (LLM, conf=0.91)
- Partly supportedcites [44] Guidi, S. et al. Abnormal development of the inferior temporal region in fetuses with Down syndrome. Brain Pathol. 28, 986–998 (2018). This study reveals reduced thickness and fewer neurons in the fusiform and temporal gyrus of fetuses with Down syndrome than in those of controls. sourceExperimental — accuracy not yet measured
The section ‘Abnormal architecture and reduced neuron number in the FG and ITG of DS fetuses’ reports fewer neurons in two cortical regions and describes a previously reported reduction in the fetal hippocampal region. The Subjects section reports six DS and six euploid fetuses. Our copy does not establish the claimed reduction in the cerebellum, so this source supports only part of the three-region statement. (LLM, conf=0.88)
- Not checked — no full text of the sourcecites [45] Larsen, K. B. et al. Reduced cell number in the neocortical part of the human fetal brain in Down syndrome. Ann. Anat. 190, 421–427 (2008). This analysis of stereological cell counts reveals that the total cell number in the neocortex of fetal Down syndrome forebrain is smaller than that of controls. source
- Not checked — no full text of the sourcecites [46] Ross, M. H., Galaburda, A. M. & Kemper, T. L. Down’s syndrome: is there a decreased population of neurons? Neurology 34, 909–916 (1984). In a small sample size of whole-brain sections, this research has observed fewer granular, presumably aspinous stellate, neurons in Down syndrome brains than in controls. source
- Supportedcites [47] Stagni, F. et al. Subicular hypotrophy in fetuses with Down syndrome and in the Ts65Dn model of Down syndrome. Brain Pathol. 29, 366–379 (2019). source
The Results report a lower percentage of neurons in the subiculum of fetuses with Down syndrome than in euploid controls. The paper identifies the subiculum as part of the hippocampal region, supporting the hippocampal finding for which this study is cited. The small-sample qualifier has a separate citation in the citing sentence. (LLM, conf=0.90)
- Not checked — no full text of the sourcecites [48] Wisniewski, K. E., Laure-Kamionowska, M. & Wisniewski, H. M. Evidence of arrest of neurogenesis and synaptogenesis in brains of patients with Down’s syndrome. N. Engl. J. Med. 311, 1187–1188 (1984). This morphometric analysis of the cortex (from birth to 14 years) shows 20% to 50% fewer neurons in Down syndrome brain than in controls from birth. source
- Supportedcites [17] Risgaard, K. A., Sorci, I. A., Mohan, S. & Bhattacharyya, A. Meta-analysis of Down syndrome cortical development reveals underdeveloped state of the science. Front. Cell Neurosci. 16, 915272 (2022). source
Citation 17 is attached to the small-sample-size qualification, rather than to the findings for each brain region. The Discussion (Summary) says many reports had limited sample sizes and few Down syndrome samples; the Results (Synthesis of Findings From Analyzed Studies) likewise cautions that the studies were limited by small numbers or samples. (LLM, conf=0.93)
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The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Neurospheres derived from individuals with DS expand more slowly than those from controls, suggesting that they contain fewer proliferating progenitor cells.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Partly supportedcites [66] Esposito, G. et al. Genomic and functional profiling of human Down syndrome neural progenitors implicates S100B and aquaporin 4 in cell injury. Hum. Mol. Genet. 17, 440–457 (2008). sourceExperimental — accuracy not yet measured
In “Characterization of human DS NPCs” (page unavailable), the paper reports that Down syndrome neurospheres appeared to proliferate more slowly than controls shortly after dissociation. It does not establish that they contained fewer proliferating progenitor cells; the same section says the Down syndrome cells generally showed increased proliferation with serial passaging. (LLM, conf=0.86)
- Not matchedcites [67] Lu, J., Delli-Bovi, L. C., Hecht, J., Folkerth, R. & Sheen, V. L. Generation of neural stem cells from discarded human fetal cortical tissue. J. Vis. Exp. 25, 2681 (2011).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Partly supportedcites [68] Bhattacharyya, A., McMillan, E., Chen, S. I., Wallace, K. & Svendsen, C. N. A critical period in cortical interneuron neurogenesis in Down syndrome revealed by human neural progenitor cells. Dev. Neurosci. 31, 497–510 (2009). sourceExperimental — accuracy not yet measured
In “Temporal Changes in Neurogenesis from Trisomy 21 hNPCs,” the paper reports slower growth of trisomy 21 neurospheres and suggests a loss of progenitor cells. It does not establish that fewer of those cells were proliferating: Ki67 measurements found no significant difference in cell division compared with controls. (LLM, conf=0.87)
- Supportedcites [69] Lu, J. et al. OLIG2 over-expression impairs proliferation of human Down syndrome neural progenitors. Hum. Mol. Genet. 21, 2330–2340 (2012). source
In “Impaired proliferation in DS HNPs” (Fig. 1C), Down syndrome neurospheres were 40% smaller after one week of expansion and had approximately threefold lower Ki67 or BrdU labeling than controls. These findings support slower expansion and fewer proliferating progenitor cells. (LLM, conf=0.93)
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- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“However, results from these studies are discordant: the generation of neurons from iPSCs has been reported in some studies to be impaired74,77–79 and in others not to be impaired75,80,81, which may be explained by technical differences in the cell lines and protocols used (see Box 1).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Partly supportedcites [74] Li, Z. et al. Asynchronous excitatory neuron development in an isogenic cortical spheroid model of Down syndrome. Front. Neurosci. 16, 932384 (2022). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [77] Tang, X. Y. et al. DSCAM/PAK1 pathway suppression reverses neurogenesis deficits in iPSC-derived cerebral organoids from patients with Down syndrome. J. Clin. Invest. 131, 135763 (2021). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
- Not checked — no full text of the sourcecites [78] Lu, H. E. et al. Modeling neurogenesis impairment in Down syndrome with induced pluripotent stem cells from trisomy 21 amniotic fluid cells. Exp. Cell Res. 319, 498–505 (2013). source
- Partly supportedcites [79] Hibaoui, Y. et al. Modelling and rescuing neurodevelopmental defect of Down syndrome using induced pluripotent stem cells from monozygotic twins discordant for trisomy 21. EMBO Mol. Med. 6, 259–277 (2014). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [75] Murray, A. et al. Brief report: isogenic induced pluripotent stem cell lines from an adult with mosaic Down syndrome model accelerated neuronal ageing and neurodegeneration. Stem Cell 33, 2077–2084 (2015). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Partly supportedcites [80] Shi, Y. et al. A human stem cell model of early Alzheimer’s disease pathology in Down syndrome. Sci. Transl. Med. 4, 124ra129 (2012). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Not checked — no full text of the sourcecites [81] Weick, J. P. et al. Deficits in human trisomy 21 iPSCs and neurons. Proc. Natl Acad. Sci. USA 110, 9962–9967 (2013). source
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- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Neurogenesis starts at approximately post-conceptional day 50 in the human cortex25,51.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Supportedcites [25] Silbereis, J. C., Pochareddy, S., Zhu, Y., Li, M. & Sestan, N. The cellular and molecular landscapes of the developing human central nervous system. Neuron 89, 248–268 (2016). This comprehensive review highlights the molecular and cellular processes of the developing human CNS, with focus on the cerebral neocortex. source
In “Neuronal generation and migration,” the paper states that neocortical cells begin generating the earliest cortical-plate neurons at approximately 50–51 post-conceptional days. It also gives 48 pcd as the predicted start of neocortical neurogenesis, consistent with the claim’s approximate timing. (LLM, conf=0.93)
- Not matchedcites [51] Bayer, S. A., and Altman, J. Atlas of Human Central Nervous System Development Vols 1–5 (Taylor and Francis, 2007).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Interneurons are generated from progenitors located in the ventral forebrain in transient structures called ganglionic eminences and migrate tangentially to the cortex through different migratory streams85–87.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [85] Anderson, S. A., Eisenstat, D. D., Shi, L. & Rubenstein, J. L. Interneuron migration from basal forebrain to neocortex: dependence on Dlx genes. Science 278, 474–476 (1997). source
- Partly supportedcites [86] Lim, L., Mi, D., Llorca, A. & Marin, O. Development and functional diversification of cortical interneurons. Neuron 100, 294–313 (2018). sourceExperimental — accuracy not yet measured
The Introduction says cortical interneurons arise from progenitors in the embryonic subpallium and migrate tangentially via several streams. The sections on spatial specification and tangential migration support ganglionic-eminence origins and distinct routes, but also identify the preoptic region—separate from the ganglionic eminences—as a source of cortical interneurons. No page numbers are provided in our copy. (LLM, conf=0.84)
- Not checked — no full text of the sourcecites [87] Wamsley, B. & Fishell, G. Genetic and activity-dependent mechanisms underlying interneuron diversity. Nat. Rev. Neurosci. 18, 299–309 (2017). source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Altered development of the cortex in DS includes both reduced neurogenesis early in development and altered gliogenesis and myelination later in development39 (Fig. 2).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered gliogenesis and myelination
What the sources say
- Partly supportedcites [39] Olmos-Serrano, J. L. et al. Down syndrome developmental brain transcriptome reveals defective oligodendrocyte differentiation and myelination. Neuron 89, 1208–1222 (2016). This multi-region transcriptome analysis of Down syndrome and euploid control brains spanning from mid-fetal development to adulthood identifies temporal and spatial genome-wide alterations associated with distinct biological processes. sourceExperimental — accuracy not yet measured
The Results (no page given) report altered oligodendrocyte differentiation and reduced myelination in the developing Down syndrome neocortex, supporting the later-development part of the claim. The Introduction (no page given) mentions neurogenesis defects in mouse models, but does not establish reduced early neurogenesis in the human cortex; the findings also concern oligodendrocytes rather than gliogenesis broadly. (LLM, conf=0.86)
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- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“This transcriptomic (microarray) investigation of the cortex and cerebellum of individuals with DS from prenatal stages to adulthood has found genome-wide alterations in the expression of a large number of genes (see Box 3), many of which exhibited temporal and spatial specificity and were associated with distinct biological processes, including metabolism (Box 4).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment
What the sources say
- Partly supportedcites [39] Olmos-Serrano, J. L. et al. Down syndrome developmental brain transcriptome reveals defective oligodendrocyte differentiation and myelination. Neuron 89, 1208–1222 (2016). This multi-region transcriptome analysis of Down syndrome and euploid control brains spanning from mid-fetal development to adulthood identifies temporal and spatial genome-wide alterations associated with distinct biological processes. sourceExperimental — accuracy not yet measured
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
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- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Evidence of altered regulation of neuronal differentiation genes during the period of neurogenesis is consistent with increased neuronal differentiation, which would suggest premature cell cycle exit39.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Partly supportedcites [39] Olmos-Serrano, J. L. et al. Down syndrome developmental brain transcriptome reveals defective oligodendrocyte differentiation and myelination. Neuron 89, 1208–1222 (2016). This multi-region transcriptome analysis of Down syndrome and euploid control brains spanning from mid-fetal development to adulthood identifies temporal and spatial genome-wide alterations associated with distinct biological processes. sourceExperimental — accuracy not yet measured
The Results section on co-dysregulation reports altered gene-expression modules associated with neuronal differentiation (M4 and M45). It does not establish that these changes occurred specifically during neurogenesis, indicate increased neuronal differentiation, or suggest premature cell-cycle exit. No page number is available in our copy. (LLM, conf=0.83)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Partly supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“This suggested that cell cycle dynamics are altered in DS and that they are altered differentially at different developmental stages.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Supportedcites [65] Sharma, V. et al. Biphasic cell cycle defect causes impaired neurogenesis in Down syndrome. Front. Genet. 13, 1007519 (2022). This paper shows that human trisomy 21 iPSCs display abnormal cell cycle features during neural differentiation compared to controls. source
The Results section, “Human down syndrome cells displayed abnormal cell cycle during neural differentiation,” reports reduced proliferation of DS cells early in the neurogenic stage but increased proliferation late in that stage. It also describes a reversal in S-phase occupancy over time, supporting the claim that cell-cycle dynamics differ across developmental stages. (LLM, conf=0.94)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Although therapeutic targeting of this altered excitation–inhibition ratio proved successful in treating cognitive deficits in mice, similar strategies did not prove efficacious for the treatment of intellectual disability in individuals with DS130.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Supportedcites [130] Goeldner, C. et al. A randomized, double-blind, placebo-controlled phase II trial to explore the effects of a GABAA-α5 NAM (basmisanil) on intellectual disability associated with Down syndrome. J. Neurodev. Disord. 14, 10 (2022). source
Split into 2 atoms — 2 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“The reduced capacity for LTP is driven by increased GABAergic neurotransmission in these animals, and pharmacological reduction of GABAergic neurotransmission is sufficient to rescue this LTP phenotype127–129.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [127] Kurt, M. A., Kafa, M. I., Dierssen, M. & Davies, D. C. Deficits of neuronal density in CA1 and synaptic density in the dentate gyrus, CA3 and CA1, in a mouse model of Down syndrome. Brain Res. 1022, 101–109 (2004). source
- Supportedcites [128] Martinez-Cue, C., Delatour, B. & Potier, M. C. Treating enhanced GABAergic inhibition in Down syndrome: use of GABA α5-selective inverse agonists. Neurosci. Biobehav. Rev. 46, 218–227 (2014). source
Split into 2 atoms — 2 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
- Could not verifycites [129] Potier, M. C., Braudeau, J., Dauphinot, L. & Delatour, B. Reducing GABAergic inhibition restores cognitive functions in a mouse model of Down syndrome. CNS Neurol. Disord. Drug Targets 13, 8–15 (2014). sourceExperimental — accuracy not yet measured
Split into 2 atoms — 0 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 2 unverifiable. Expand the claim to see per-atom verdicts.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“Synaptogenesis begins in the developing cortex at approximately 18 post-conception weeks (PCW), but dendritic spines — the primary sites of excitatory synaptic contact — do not emerge until about 24 PCW112–114.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [112] Huttenlocher, P. R. Synaptic density in human frontal cortex — developmental changes and effects of aging. Brain Res. 163, 195–205 (1979). source
- Not checked — no full text of the sourcecites [113] Huttenlocher, P. R. & Dabholkar, A. S. Regional differences in synaptogenesis in human cerebral cortex. J. Comp. Neurol. 387, 167–178 (1997). source
- Could not verifycites [114] Petanjek, Z. et al. Extraordinary neoteny of synaptic spines in the human prefrontal cortex. Proc. Natl Acad. Sci. USA 108, 13281–13286 (2011). sourceExperimental — accuracy not yet measured
The Materials and Methods (p. 5) say the subjects ranged from a 1-week-old newborn to 91 years; the Discussion (p. 4) addresses postnatal spine overproduction and pruning. Searches for prenatal synaptogenesis, post-conceptional weeks, and 24 PCW found no passage establishing either claimed onset at 18 or 24 weeks. (LLM, conf=0.78)
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
Every source the paper cites for this claim was checked and supports it.
In the paper
“However, OLIG2 expression is not specific to oligodendrocyte progenitor cells and its increased expression has been shown to regulate interneuron production in organoids and chimeric mice91.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered gliogenesis and myelination
What the sources say
- Supportedcites [91] Xu, R. et al. OLIG2 drives abnormal neurodevelopmental phenotypes in human iPSC-based organoid and chimeric mouse models of Down syndrome. Cell Stem Cell 24, 908–926.e8 (2019). This study shows that trisomy 21 iPSCs overproduce OLIG2+ ventral forebrain neural progenitors and GABAergic neurons in organoids and in chimeric mouse brains. source
In Results, “Human PSC-Derived OLIG2+ Ventral Forebrain NPCs Give Rise to GABAergic Neurons” (page unavailable), the paper identifies OLIG2-expressing neural progenitors that give rise to GABAergic neurons, so OLIG2 is not confined to oligodendrocyte progenitors. In Results, “Inhibiting OLIG2 Expression Rescues Overproduction of GABAergic Neurons in DS Organoids and Chimeric Mouse Brains” (page unavailable), reducing OLIG2 decreases the overproduction of specific GABAergic neuron populations in both models, supporting its role in regulating their production. (LLM, conf=0.91)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Similarly, when cultured for long enough to enable the generation of astrocytes, T21 iPSCs generate more of this cell type than control iPSCs, concomitant with a reduction in the generation of neurons79,82,96,103.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered gliogenesis and myelination
What the sources say
- Supportedcites [79] Hibaoui, Y. et al. Modelling and rescuing neurodevelopmental defect of Down syndrome using induced pluripotent stem cells from monozygotic twins discordant for trisomy 21. EMBO Mol. Med. 6, 259–277 (2014). source
The Results section, “Altered maturation of NPCs derived from DS iPSCs into neurons” (page not provided), reports reduced neuronal markers and increased astroglial markers after differentiation of trisomy 21 iPSC-derived cells compared with control cells. The Discussion also describes the generation of astroglial cells and fewer neurons from the trisomy 21 cells. (LLM, conf=0.90)
- Partly supportedcites [82] Chen, C. et al. Role of astroglia in Down’s syndrome revealed by patient-derived human-induced pluripotent stem cells. Nat. Commun. 5, 4430 (2014). This study identifies a role for astrocytes in regulating neuronal function in Down syndrome pathogenesis using trisomy 21 iPSC-derived neurons and astrocytes in co-cultures, drug treatment and chimeric mouse brains. sourceExperimental — accuracy not yet measured
The Results (Generation and differentiation of DS patient-specific hiPSCs) report that, under spontaneous differentiation, DS iPSC-derived progenitors produced more astroglia and fewer neurons than controls. The claim omits that condition: the same section reports no significant difference between DS and control lines under directed differentiation, so culturing long enough to generate astrocytes does not by itself describe the finding. (LLM, conf=0.85)
- Not checked — no full text of the sourcecites [96] Briggs, J. A. et al. Integration-free induced pluripotent stem cells model genetic and neural developmental features of Down syndrome etiology. Stem Cell 31, 467–478 (2013). source
- Partly supportedcites [103] Qiu, J. J., Liu, Y. N., Wei, H., Zeng, F. & Yan, J. B. Single-cell RNA sequencing of neural stem cells derived from human trisomic iPSCs reveals the abnormalities during neural differentiation of Down syndrome. Front. Mol. Neurosci. 16, 1137123 (2023). sourceExperimental — accuracy not yet measured
The Results section (‘DS-NSCs have an abnormal differentiation fate compared with NC-NSCs’; page unavailable) reports more glial progenitors and fewer neuronal progenitors in Down syndrome iPSC-derived neural stem cells than in controls. It interprets this as a shift toward glial cells, such as astrocytes, and away from neuronal cells. The study does not show that prolonged culture generated more mature astrocytes and fewer neurons. (LLM, conf=0.88)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Much of the work in DS has focused on OLIG2, a chromosome 21-encoded gene that is a master regulator for oligodendrocyte development92,93,108.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered gliogenesis and myelination
What the sources say
- Not checked — no full text of the sourcecites [92] Ligon, K. L., Fancy, S. P., Franklin, R. J. & Rowitch, D. H. Olig gene function in CNS development and disease. Glia 54, 1–10 (2006). source
- Not checked — no full text of the sourcecites [93] Rowitch, D. H., Lu, Q. R., Kessaris, N. & Richardson, W. D. An ‘oligarchy’ rules neural development. Trends Neurosci. 25, 417–422 (2002). source
- Partly supportedcites [108] Zhou, Q., Wang, S. & Anderson, D. J. Identification of a novel family of oligodendrocyte lineage-specific basic helix-loop-helix transcription factors. Neuron 25, 331–343 (2000). sourceExperimental — accuracy not yet measured
The Results identify human Oligo2 on chromosome 21q. The Abstract and Discussion report that Oligo2 is expressed early in the oligodendrocyte lineage and that ectopic expression induces Sox10, but describe a causal role as suggested, not established. Calling it a “master regulator” overstates what this paper demonstrates. (LLM, conf=0.88)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
Every source the paper cites for this claim was checked and supports it.
In the paper
“However, genetic knockdown of type I IFN receptors reduces these phenotypes148, suggesting that increased inflammatory activity in the developing brain may drive microglia to excessively prune synapses and disrupt network refinement in the developing brain.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Supportedcites [148] Jin, M. et al. Type-I-interferon signaling drives microglial dysfunction and senescence in human iPSC models of Down syndrome and Alzheimer’s disease. Cell Stem Cell 29, 1135–1153.e8 (2022). source
In Results, under “Inhibiting the expression of IFNARs rescues the defective DS microglia development” (page not specified), IFNAR1/2 shRNA lowered receptor expression in Down-syndrome iPSC-derived microglia, and the resulting chimeras showed reduced synaptic engulfment compared with controls. The Discussion identifies elevated type I IFN signaling as the mechanism targeted by IFNAR inhibition and says that inhibition corrects synaptic pruning. (LLM, conf=0.90)
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- Rests on an assumption: During neurodevelopment, microglia are largely responsible for synaptic pruning and refinement of neuronal networks, and their activity can be modulated by levels of inflammatory cytokines in their extracellular environment.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Synaptic network formation, maintenance and plasticity are all closely linked to the intrinsic excitability of neurons, and the tight coordination and interdependence of these phenomena are foundational to cognitive processes such as memory and learning (reviewed in 146).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Partly supportedcites [146] Lisman, J., Cooper, K., Sehgal, M. & Silva, A. J. Memory formation depends on both synapse-specific modifications of synaptic strength and cell-specific increases in excitability. Nat. Neurosci. 21, 309–314 (2018). sourceExperimental — accuracy not yet measured
The Abstract and Discussion argue that synaptic plasticity and changes in neuronal excitability work together in memory formation. The Assembly consolidation hypothesis discusses forming and stabilizing memory ensembles, but presents excitability’s contribution to consolidation as a suggestion, not an established link to synaptic-network maintenance generally. The citing sentence overstates that part of the review. (LLM, conf=0.84)
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
- Partly supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Specifically, microglia derived from T21 iPSCs exhibit increased IFN signalling and over-prune synapses in vitro. However, genetic knockdown of type I IFN receptors reduces these phenotypes148, suggesting that increased inflammatory activity in the developing brain may drive microglia to excessively prune synapses and disrupt network refinement in the developing brain.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Supportedcites [148] Jin, M. et al. Type-I-interferon signaling drives microglial dysfunction and senescence in human iPSC models of Down syndrome and Alzheimer’s disease. Cell Stem Cell 29, 1135–1153.e8 (2022). source
The Results section on cerebral organoids reports enhanced synaptic pruning by Down-syndrome iPSC-derived microglia in an in vitro model. The IFNAR Results section reports increased type I interferon receptor expression in Down-syndrome cells and microglia, while the Discussion describes activated type I interferon responses in trisomy 21. The paper also reports that IFNAR knockdown reduces excessive pruning in microglial chimeras; that rescue experiment was not in vitro. (LLM, conf=0.88)
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- Rests on an assumption: During neurodevelopment, microglia are largely responsible for synaptic pruning and refinement of neuronal networks, and their activity can be modulated by levels of inflammatory cytokines in their extracellular environment.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Co-culture with T21 iPSC-derived astrocytes also reduces the intrinsic excitability of neurons and tends to have a consequent impact on synaptic development and transmission82,135,145.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Partly supportedcites [82] Chen, C. et al. Role of astroglia in Down’s syndrome revealed by patient-derived human-induced pluripotent stem cells. Nat. Commun. 5, 4430 (2014). This study identifies a role for astrocytes in regulating neuronal function in Down syndrome pathogenesis using trisomy 21 iPSC-derived neurons and astrocytes in co-cultures, drug treatment and chimeric mouse brains. sourceExperimental — accuracy not yet measured
The Results section, “Effects of DS astroglia on neuron synapses and ion channels” (page unavailable), reports less robust action-potential firing and no recorded synaptic activity in neurons given Down syndrome astroglial conditioned medium than in neurons given control medium. The Discussion also says that this medium fails to promote neuronal maturation and synapse formation. The experiments described used conditioned medium rather than direct co-culture, and the paper does not establish that reduced excitability caused the synaptic effects. (LLM, conf=0.85)
- Partly supportedcites [135] Mizuno, G. O. et al. Aberrant calcium signaling in astrocytes inhibits neuronal excitability in a human Down syndrome stem cell model. Cell Rep. 24, 355–365 (2018). sourceExperimental — accuracy not yet measured
The Results section, “DS Astroglia Inhibit the Excitability of Co-cultured Neurons” (page unavailable), reports reduced evoked neuronal activity with trisomy 21 iPSC-derived astroglia. “DS Astroglia Promote Synaptic Connectivity” reports increased synapse density and mEPSC amplitude. The paper describes reduced global excitability and associated synaptic changes, but does not establish that intrinsic neuronal excitability was reduced or that its reduction caused the synaptic changes. (LLM, conf=0.85)
- Partly supportedcites [145] Ponroy Bally, B. et al. Human iPSC-derived Down syndrome astrocytes display genome-wide perturbations in gene expression, an altered adhesion profile, and increased cellular dynamics. Hum. Mol. Genet. 29, 785–802 (2020). sourceExperimental — accuracy not yet measured
The Introduction reports that Down syndrome astrocytes affect neuronal synaptic markers, and the discussion suggests that the observed adhesion changes may have implications for synaptogenesis. But this paper does not report that co-culture with its T21 iPSC-derived astrocytes reduces neurons’ intrinsic excitability or alters synaptic transmission. Reduced excitability appears only in the title of a different study listed in its References. (LLM, conf=0.82)
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- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
- Partly supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Astrocytes isolated from DS fetal brain tissue produce less THBS1 than control astrocytes, and rodent neurons cultured with these astrocytes have fewer synapses and abnormal spine morphology than neurons cultured with control astrocytes134.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Supportedcites [134] Garcia, O., Torres, M., Helguera, P., Coskun, P. & Busciglio, J. A role for thrombospondin-1 deficits in astrocyte-mediated spine and synaptic pathology in Down’s syndrome. PLoS ONE 5, e14200 (2010). source
The Methods (Cell Culture; page not provided) identify the astrocytes as originating from Down syndrome or normal human fetal brain tissue and the cocultured neurons as rat hippocampal neurons. The Results (Altered spine number and morphology; page not provided) report fewer spines and altered spine morphology with DS astrocytes than with normal astrocytes; the Discussion also reports a marked reduction in synaptic density. (LLM, conf=0.93)
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- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
- Supported
In the paper
“Down syndrome (DS), caused by trisomy 21 (T21), is the most common genetic cause of intellectual disability1.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Not matchedcites [1] Quinonez, S. C. & Barsh, G. in Pathophysiology of Disease: An Introduction to Clinical Medicine (eds Hammer, G. D. & McPhee, S. J.) Ch. 2 (McGraw-Hill Education, 2019).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“After this period of symmetric divisions, these progenitor cells — also known as radial glia — divide asymmetrically, generating postmitotic excitatory neurons that will migrate to their final location in the cerebral cortex by using the basal process of the radial glial cell as a scaffold55–58.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [55] Rakic, P. Mode of cell migration to the superficial layers of fetal monkey neocortex. J. Comp. Neurol. 145, 61–83 (1972). source
- Not checked — no full text of the sourcecites [56] Noctor, S. C., Flint, A. C., Weissman, T. A., Dammerman, R. S. & Kriegstein, A. R. Neurons derived from radial glial cells establish radial units in neocortex. Nature 409, 714–720 (2001). source
- Not checked — no full text of the sourcecites [57] Malatesta, P., Hartfuss, E. & Gotz, M. Isolation of radial glial cells by fluorescent-activated cell sorting reveals a neuronal lineage. Development 127, 5253–5263 (2000). source
- Not checked — no full text of the sourcecites [58] Doetsch, F., Caille, I., Lim, D. A., Garcia-Verdugo, J. M. & Alvarez-Buylla, A. Subventricular zone astrocytes are neural stem cells in the adult mammalian brain. Cell 97, 703–716 (1999). source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“However, neurons derived from fetal DS NPCs are more sensitive to reactive oxygen species96 than those of controls, which may indicate a vulnerability to cell death.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [96] Briggs, J. A. et al. Integration-free induced pluripotent stem cells model genetic and neural developmental features of Down syndrome etiology. Stem Cell 31, 467–478 (2013). source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“Before neurogenesis starts, progenitor cells located in the ventricular zone divide symmetrically, thus amplifying the pool of progenitor cells that will generate the neurons and macroglia (astrocytes and oligodendrocytes) that compose the cerebral cortex52–54.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [52] Gotz, M. & Huttner, W. B. The cell biology of neurogenesis. Nat. Rev. Mol. Cell Biol. 6, 777–788 (2005). source
- Not checked — no full text of the sourcecites [53] McConnell, S. K. Constructing the cerebral cortex: neurogenesis and fate determination. Neuron 15, 761–768 (1995). source
- Not checked — no full text of the sourcecites [54] Rakic, P. A small step for the cell, a giant leap for mankind: a hypothesis of neocortical expansion during evolution. Trends Neurosci. 18, 383–388 (1995). source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Analysis of post-mortem brains over the past 100 years has consistently revealed that there are fewer cells in the brains of individuals with DS and that this underlies the reduced brain volume associated with the disorder (Fig. 1).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
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In the paper
“Some areas of the cortex, especially those in the temporal and frontal lobes, exhibit up to 50% fewer cells in individuals with DS than in healthy individuals, whereas other areas, such as the parietal lobe, are largely preserved7.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Introduction
What the sources say
- Not checked — no full text of the sourcecites [7] Pinter, J. D., Eliez, S., Schmitt, J. E., Capone, G. T. & Reiss, A. L. Neuroanatomy of Down’s syndrome: a high-resolution MRI study. Am. J. Psychiatry 158, 1659–1665 (2001). This high-resolution MRI study confirms that volumetric brain differences occur at early ages in Down syndrome. source
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Reduced neurogenesis can be caused by slower proliferation of progenitors that limits their expansion and/or by the premature exit of progenitors from the cell cycle (differentiation), both of which will reduce the number of symmetric divisions and, thus, deplete the pool of remaining progenitors needed to make new neurons (Fig. 2).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
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In the paper
“Furthermore, GFAP is problematic as an astrocyte marker because it is not abundantly expressed in all astrocytes and is also expressed by radial glia during early development100.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered gliogenesis and myelination
What the sources say
- Not checked — no full text of the sourcecites [100] Choi, B. H. Glial fibrillary acidic protein in radial glia of early human fetal cerebrum: a light and electron microscopic immunoperoxidase study. J. Neuropathol. Exp. Neurol. 45, 408–418 (1986). source
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In the paper
“The generation of the six-layer cortical plate occurs in an inside-out fashion, with the early-born neurons establishing layer 6, then layer 5, and so forth59.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [59] Rakic, P. Neurons in rhesus monkey visual cortex: systematic relation between time of origin and eventual disposition. Science 183, 425–427 (1974). source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“The fact that this reduction in neuron number appears at and before birth supports the idea that the generation of neurons is reduced during the prenatal period in DS and establishes impaired neurogenesis as a key feature of DS49,50 (Fig. 2).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Reduced neurogenesis
What the sources say
- Not checked — no full text of the sourcecites [49] Lott, I. T. & Dierssen, M. Cognitive deficits and associated neurological complications in individuals with Down’s syndrome. Lancet Neurol. 9, 623–633 (2010). source
- Not checked — no full text of the sourcecites [50] Stagni, F., Giacomini, A., Emili, M., Guidi, S. & Bartesaghi, R. Neurogenesis impairment: an early developmental defect in Down syndrome. Free Radic. Biol. Med. 114, 15–32 (2018). source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Therefore, although the imbalance in excitatory and inhibitory synaptic transmission observed in mouse models of DS is not borne out in iPSC models of T21, a reduced capacity for synaptic plasticity as a whole does manifest in these paradigms.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Specifically, detection of reduced synaptic proteins and neurotransmitters implicates alterations to synapse development in DS, but whether these reductions reflect reduced synapse number or alterations to individual synapses cannot be determined without higher resolution.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
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A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“In vitro data from human iPSC-derived neurons indicate that neurons from humans with DS not only have reduced excitatory synaptic density relative to controls but also exhibit functional deficits in excitatory synaptic transmission, including reduced frequency of spontaneous post-synaptic currents81,131.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [81] Weick, J. P. et al. Deficits in human trisomy 21 iPSCs and neurons. Proc. Natl Acad. Sci. USA 110, 9962–9967 (2013). source
- Not checked — no full text of the sourcecites [131] Araujo, B. H. S. et al. Down syndrome iPSC-derived astrocytes impair neuronal synaptogenesis and the mTOR pathway in vitro. Mol. Neurobiol. 55, 5962–5975 (2018). source
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- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
In the paper
“In fact, the sole electron microscopic study of the fetal brain of individuals with DS119 reports that the synapse density of cortical neurons is comparable in individuals with DS and controls at midfetal stages, but that measures of synaptic morphology — such as the width and length of the post-synaptic density — are reduced during late fetal development (Fig. 3b).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [119] Petit, T. L., LeBoutillier, J. C., Alfano, D. P. & Becker, L. E. Synaptic development in the human fetus: a morphometric analysis of normal and Down’s syndrome neocortex. Exp. Neurol. 83, 13–23 (1983). Through electron microscopy of neonatal DS and control brains, this study reveals a higher percentage of primitive synaptic contacts in the DS tissue. source
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The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“However, a definitive investigation of how non-neuronal cells impact the inhibition–excitation ratio has not yet been undertaken.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
None of the sources cited for this claim have been checked yet.
In the paper
“Additionally, the levels of synaptic proteins (such as synaptosomal-associated protein 25 (SNAP25) and alpha-soluble NSF attachment protein (SNAPA)), neurotransmitters (particularly GABA, dopamine and serotonin), and neurotransmitter receptors are reduced in fetal brains of individuals with DS relative to controls120–122.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not matchedcites [120] Weitzdoerfer, R., Dierssen, M., Fountoulakis, M. & Lubec, G. Fetal life in Down syndrome starts with normal neuronal density but impaired dendritic spines and synaptosomal structure. J. Neural Transm. Suppl. 2001, 59–70 (2001).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not checked — no full text of the sourcecites [121] Whittle, N., Sartori, S. B., Dierssen, M., Lubec, G. & Singewald, N. Fetal Down syndrome brains exhibit aberrant levels of neurotransmitters critical for normal brain development. Pediatrics 120, e1465–e1471 (2007). source
- Not checked — no full text of the sourcecites [122] Falsafi, S. K., Dierssen, M., Ghafari, M., Pollak, A. & Lubec, G. Reduced cortical neurotransmitter receptor complex levels in fetal Down syndrome brain. Amino Acids 48, 103–116 (2016). source
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- Not matched
None of the sources cited for this claim have been checked yet.
In the paper
“Such findings support the suggestion that synaptic deficits are present at early developmental stages in DS, but the limited resolution of the techniques used in some of these investigations preclude the drawing of specific conclusions.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [119] Petit, T. L., LeBoutillier, J. C., Alfano, D. P. & Becker, L. E. Synaptic development in the human fetus: a morphometric analysis of normal and Down’s syndrome neocortex. Exp. Neurol. 83, 13–23 (1983). Through electron microscopy of neonatal DS and control brains, this study reveals a higher percentage of primitive synaptic contacts in the DS tissue. source
- Not matchedcites [120] Weitzdoerfer, R., Dierssen, M., Fountoulakis, M. & Lubec, G. Fetal life in Down syndrome starts with normal neuronal density but impaired dendritic spines and synaptosomal structure. J. Neural Transm. Suppl. 2001, 59–70 (2001).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not checked — no full text of the sourcecites [121] Whittle, N., Sartori, S. B., Dierssen, M., Lubec, G. & Singewald, N. Fetal Down syndrome brains exhibit aberrant levels of neurotransmitters critical for normal brain development. Pediatrics 120, e1465–e1471 (2007). source
- Not checked — no full text of the sourcecites [122] Falsafi, S. K., Dierssen, M., Ghafari, M., Pollak, A. & Lubec, G. Reduced cortical neurotransmitter receptor complex levels in fetal Down syndrome brain. Amino Acids 48, 103–116 (2016). source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“This ultimately results in an overabundance of synapses in the infant brain, but many of these connections are eliminated via robust synaptic pruning that occurs from early childhood through adolescence112.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [112] Huttenlocher, P. R. Synaptic density in human frontal cortex — developmental changes and effects of aging. Brain Res. 163, 195–205 (1979). source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Neurons in the fetal brain of individuals with DS do not show such differences in spine number or morphology (Fig. 3a).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
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The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“It is important to note that information from Golgi and electron microscopy studies to date have been limited to the motor and visual cortices, whereas RNA and protein analyses have incorporated the entire fetal cortex.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“The earliest reports using Golgi staining of human brain tissue provided consistent evidence that newborns and infants with DS have substantial deficits in spine density and abnormal spine morphology115–118.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
What the sources say
- Not checked — no full text of the sourcecites [115] Marin-Padilla, M. Structural abnormalities of the cerebral cortex in human chromosomal aberrations: a Golgi study. Brain Res. 44, 625–629 (1972). source
- Not checked — no full text of the sourcecites [116] Marin-Padilla, M. Pyramidal cell abnormalities in the motor cortex of a child with Down’s syndrome. A Golgi study. J. Comp. Neurol. 167, 63–81 (1976). source
- Not checked — no full text of the sourcecites [117] Takashima, S., Becker, L. E., Armstrong, D. L. & Chan, F. Abnormal neuronal development in the visual cortex of the human fetus and infant with Down’s syndrome. A quantitative and qualitative Golgi study. Brain Res. 225, 1–21 (1985). This Golgi analysis of DS fetal and infant brains shows the same neuronal morphology and spine counts as those of control fetuses; however, DS brains had shorter basilar dendrites and decreased numbers of spines with altered morphology and defective cortical layering. source
- Not checked — no full text of the sourcecites [118] Takashima, S., Iida, K., Mito, T. & Arima, M. Dendritic and histochemical development and ageing in patients with Down’s syndrome. J. Intellect. Disabil. Res. 38, 265–273 (1994). source
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In the paper
“however, DS brains had shorter basilar dendrites and decreased numbers of spines with altered morphology and defective cortical layering”
§ Consequences of trisomy 21 for brain development in Down syndrome > References
What the sources say
- Not checked — no full text of the sourcecites [117] Takashima, S., Becker, L. E., Armstrong, D. L. & Chan, F. Abnormal neuronal development in the visual cortex of the human fetus and infant with Down’s syndrome. A quantitative and qualitative Golgi study. Brain Res. 225, 1–21 (1985). This Golgi analysis of DS fetal and infant brains shows the same neuronal morphology and spine counts as those of control fetuses; however, DS brains had shorter basilar dendrites and decreased numbers of spines with altered morphology and defective cortical layering. source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Human pluripotent stem cells enable modelling of human neural development, albeit with some limitations, including reduced complexity and the immaturity of the cell types generated (Box 1).”
§ Consequences of trisomy 21 for brain development in Down syndrome > Conclusions and future directions
What the sources say
- Not matchedcites Box 1
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“T21 microglia have also been implicated in altered synaptic development, further suggesting that non-neuronal cell types may have a major role in disrupted synapse development in DS.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Impacts of T21 on human neurodevelopment > Altered synaptogenesis and synaptic transmission
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: During neurodevelopment, microglia are largely responsible for synaptic pruning and refinement of neuronal networks, and their activity can be modulated by levels of inflammatory cytokines in their extracellular environment.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In addition, we are learning more about the non-coding regions of the genome, and it is becoming clear that the impact of the numerous non-coding RNAs encoded on HSA21 is probably key to understanding many cellular processes.”
§ Consequences of trisomy 21 for brain development in Down syndrome > Conclusions and future directions
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“This Golgi analysis of DS fetal and infant brains shows the same neuronal morphology and spine counts as those of control fetuses”
§ Consequences of trisomy 21 for brain development in Down syndrome > References
What the sources say
- Not checked — no full text of the sourcecites [117] Takashima, S., Becker, L. E., Armstrong, D. L. & Chan, F. Abnormal neuronal development in the visual cortex of the human fetus and infant with Down’s syndrome. A quantitative and qualitative Golgi study. Brain Res. 225, 1–21 (1985). This Golgi analysis of DS fetal and infant brains shows the same neuronal morphology and spine counts as those of control fetuses; however, DS brains had shorter basilar dendrites and decreased numbers of spines with altered morphology and defective cortical layering. source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
Relatively little is known about the cellular and molecular mechanisms that drive the changes seen in Down syndrome.
“Despite its high prevalence and extensively characterized cognitive phenotypes, relatively little is known about the cellular and molecular mechanisms that drive the changes seen in DS.”
The paper relies on this without support.
The exact processes affected and the cellular and molecular mechanisms that drive the phenotypes in Down syndrome are unknown.
“The early emergence of structural deficits in the brains of individuals with DS implies disruptions to early neurodevelopment, but the exact processes that are affected and the cellular and molecular mechanisms that drive these phenotypes are unknown.”
The paper relies on this without support.
The impact of trisomy 21 on cortical arealization is completely unknown.
“The impact of T21 on cortical arealization is completely unknown.”
The paper relies on this without support.
Whether and how increased cell death contributes to reduced neuron number in cortical development in Down syndrome has not yet been resolved.
“Thus, whether and how increased cell death contributes to reduced neuron number in cortical development in DS have not yet been resolved.”
The paper relies on this without support.
Which cell type is being analysed in fetal tissue and whether there are indeed more astrocytes or an imbalance in neuron and astrocyte populations are unclear.
“Thus, which cell type is being analysed in fetal tissue and whether there are indeed more astrocytes or an imbalance in neuron and astrocyte populations are unclear.”
The paper relies on this without support.
No studies thus far have assessed the dynamics of the neurogenesis to gliogenesis transition.
“However, no studies thus far have assessed the dynamics of the neurogenesis to gliogenesis transition.”
The paper relies on this without support.
A detailed understanding of when and how neurogenesis is reduced during cortical development in Down syndrome is still lacking.
“Thus, T21 iPSC modelling of neurogenesis is complicated and a detailed understanding of when and how neurogenesis is reduced during cortical development in DS is still lacking.”
The paper relies on this without support.
The impact of trisomy 21 on progenitor populations and neurogenesis across development has not been fully described.
“Whether these neurons are affected in DS has not been established by in vivo studies, and the impact of T21 on progenitor populations and neurogenesis across development has not been fully described.”
The paper relies on this without support.
We do not have a comprehensive picture of the impact of trisomy 21 on interneuron populations from post-mortem fetal and postnatal tissue.
“Because we do not have a comprehensive picture of the impact of T21 on interneuron populations from post-mortem fetal and postnatal tissue, it is difficult to assess how well the iPSC models mimic the in vivo phenotypes and define mechanisms of interneuron development.”
The paper relies on this without support.
The exact reason therapies targeting the altered excitation-inhibition ratio have not yet proven successful in Down syndrome remains unclear.
“The exact reason these therapies have not yet proven successful remains unclear, but a more thorough understanding of how synaptic function is altered in human T21 neurons may shed light on this issue.”
The paper relies on this without support.
During neurodevelopment, microglia are largely responsible for synaptic pruning and refinement of neuronal networks, and their activity can be modulated by levels of inflammatory cytokines in their extracellular environment.
“During neurodevelopment, microglia are largely responsible for synaptic pruning and the refinement of neuronal networks, and as the resident macrophages of the brain, their activity can be modulated by the levels of inflammatory cytokines present in their extracellular environment.”
The paper relies on this without support.
Human iPSC-derived neurons provide a model system capable of electrophysiological studies with sufficient power to investigate how DS alters neurotransmission.
“Human iPSC-derived neurons offer a model system to enable electrophysiological studies with sufficient power to be conducted to investigate how DS alters neurotransmission.”
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?
The cited source says what the claim attributes to it.
In the citing paper
“The early onset of these deficits implicates disruptions in fundamental neurodevelopmental processes during prenatal and early postnatal corticogenesis (6).”
From Molecular and cellular processes disrupted in the early postnatal Down syndrome prefrontal cortex (2026) · cites this paper as [6]
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Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Two different papers share the same journal volume and pages
MinorReferences 30 and 182 assign the same journal, volume and page range to papers with different titles and publication years. At least one citation is internally inconsistent.
“30. Qi Y Combined small-molecule inhibition accelerates the derivation of functional cortical neurons from human pluripotent stem cells. Nat. Biotechnol. 35, 154– 163 (2017).”
“182. Hergenreder E Combined small-molecule treatment accelerates maturation of human pluripotent stem cell-derived neurons. Nat. Biotechnol. 35, 154– 163 (2024).”
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Self-citationCognitive deficits and associated neurological complications in individuals with Down's syndrome
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Self-citationUzquiano, A., Kedaigle, A. J., Pigoni, M., Paulsen, B. D. S., Adiconis, X., Kim, K., Faits, T., Nagaraja, S., Antón-Bolaños, N., Gerhardinger, C., et al. (2022) · Cell · doi:10.1016/j.cell.2022.09.010 · Cited by 257 · cited 1×
“Comparison of single-cell datasets from human iPSC models of corticogenesis to those obtained from in vivo fetal tissue data, such as PsychEnCODE 172 , using tools such as BOMA 173 , validates iPSC modelling of the mechanisms of human cortical development 174,175 .”
The neurobiologie consequences of down syndrome
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“However, unbiased analyses using omics technology have recently revealed that T21 impacts gene expression across the genome 39,74,143,156–159 .”
InfluentialOlig gene function in CNS development and disease
Ligon, K. L., Fancy, S. P. J., Franklin, R. J. M., & Rowitch, D. H. (2006) · Glia · doi:10.1002/glia.20273 · Cited by 223 · cited 2×
“…progenitors expressing the marker OLIG2, a HSA21-encoded transcription factor important for regulating ventral fate and oligodendrogliogenesis 92,93 , and has assessed their fate in organoids and chimaeras 91 , whereas other studies have used two-dimensional cultures to drive the…”
Altered long-term potentiation in the young and old Ts65Dn mouse, a model for down syndrome
Siarey, R. J., Stoll, J., Rapoport, S. I., & Galdzicki, Z. (1997) · Neuropharmacology · doi:10.1016/s0028-3908(97)00157-3 · Cited by 222 · cited 1×
“…findings from mouse models of DS, particularly the Ts65Dn model , in which patch clamp electrophysiology analyses reveal reduced long-term potentiation (LTP) and increased long-term depression (LTD), reflecting the relative strengthening and weakening, respectively, of individual synapses 123–126 .”
Chen, C., Jiang, P., Xue, H., Peterson, S. E., Tran, H. T., McCann, A. E., Parast, M. M., Li, S., Pleasure, D. E., Laurent, L. C., et al. (2014) · Nature Communications · doi:10.1038/ncomms5430 · Cited by 219 · cited 4×
“…from T21 and euploid iPSCs through directed differentiation , no significant differences in neuron production between genotypes were detected, but when the same cell lines were allowed to spontaneously differentiate, the trisomic lines produced a significantly decreased percentage of neurons 82 .”
InfluentialBahn, S., Mimmack, M., Ryan, M., Caldwell, M. A., Jauniaux, E., Starkey, M., Svendsen, C. N., & Emson, P. (2002) · The Lancet · doi:10.1016/s0140-6736(02)07497-4 · Cited by 211 · cited 2×
“Specifically, the production and differentiation of neurons and astrocytes are disrupted during neurodevelopment in DS, resulting in fewer neurons and a greater proportion of astrocytes relative to neurons 41,46,99,101,102,160 .”
Individual human cortical progenitors can produce excitatory and inhibitory neurons
Delgado, R. N., Allen, D. E., Keefe, M. G., Mancia, W., Ziffra, R. S., Crouch, E. E., Álvarez-Buylla, A., & Nowakowski, T. J. (2021) · Nature · doi:10.1038/s41586-021-04230-7 · Cited by 211 · cited 1×
“A detailed assessment of cell cycle dynamics coupled with lineage tracing (using a method such as single-cell sequencing with barcoding) 83 is needed to determine whether the reduced neurogenesis observed in DS is owing to delayed, interrupted or accelerated neurogenesis.”
Development of the superior temporal neocortex is anomalous in trisomy 21
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“Specifically, the production and differentiation of neurons and astrocytes are disrupted during neurodevelopment in DS, resulting in fewer neurons and a greater proportion of astrocytes relative to neurons 41,46,99,101,102,160 .”
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Deficits in human trisomy 21 iPSCs and neurons
Weick, J. P., Held, D. L., Bonadurer, G. F., Doers, M. E., Liu, Y., Maguire, C., Clark, A., Knackert, J. A., Molinarolo, K., Musser, M., et al. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1216575110 · Cited by 205 · cited 6×
“Genome-wide dysregulation of gene expression (Box 3) in neurons likely leads to over-expression and/or under-expression of key genes that regulate synaptogenesis, but specific candidates have yet to be identified 74,77,81,143 .”
InfluentialSelf-citationTrisomy 21 and early brain development
Haydar, T. F., & Reeves, R. H. (2012) · Trends in Neurosciences · doi:10.1016/j.tins.2011.11.001 · Cited by 200 · cited 1×
“in deciphering the mechanisms governing brain development and function, as well as the consequences of DS-related manipulations for those mechanisms 18–22 .”
Molecular genetic approach to the characterization of the “Down syndrome region” of chromosome 21
McCormick, M. K., Schinzel, A., Petersen, M. B., Stetten, G., Driscoll, D. J., Cantu, E. S., Tranebjaerg, L., Mikkelsen, M., Watkins, P. C., & Antonarakis, S. E. (1989) · Genomics · doi:10.1016/0888-7543(89)90065-7 · Cited by 195
Genetics of human brain development
Zhou, Y. F., Song, H., & Ming, G. (2023) · Nature Reviews Genetics · doi:10.1038/s41576-023-00626-5 · Cited by 195 · cited 1×
“These differences, which may affect the timing, pattern and level of gene expression, may have distinct molecular and phenotypic consequences and can potentially be preserved in hPSC models 168–170 .”
Xu, R., Brawner, A. T., Li, S., Liu, J.-J., Kim, H., Xue, H., Pang, Z. P., Kim, W.-Y., Hart, R. P., Liu, Y., et al. (2019) · Cell Stem Cell · doi:10.1016/j.stem.2019.04.014 · Cited by 193 · cited 5×
“Nonetheless, a few studies indicate that increased proportions of OLIG2 -expressing progenitor cells are produced by T21 iPSCs differentiated in both two-dimensional and three-dimensional cultures, compared to controls 73,91 .”
InfluentialHuman Models Are Needed for Studying Human Neurodevelopmental Disorders
Zhao, X., & Bhattacharyya, A. (2018) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2018.10.009 · Cited by 192 · cited 1×
“Human induced pluripotent stem cells (iPSCs) generated from somatic cells of individuals with DS provide another approach to interrogate the cellular and molecular mechanisms underlying altered neural development in human cells 28 (Boxes 1 and 2).”
Self-citationDown's syndrome: Is there a decreased population of neurons?
Ross, M. H., Galaburda, A. M., & Kemper, T. L. (1984) · Neurology · doi:10.1212/wnl.34.7.909 · Cited by 191
Increased synaptic depression in the Ts65Dn mouse, a model for mental retardation in Down syndrome
Siarey, R. J., Carlson, E. J., Epstein, C. J., Balbo, A., Rapoport, S. I., & Galdzicki, Z. (1999) · Neuropharmacology · doi:10.1016/s0028-3908(99)00083-0 · Cited by 184
An ‘oligarchy’ rules neural development
Rowitch, D. H., Lu, Q. R., Kessaris, N., & Richardson, W. D. (2002) · Trends in Neurosciences · doi:10.1016/s0166-2236(02)02201-4 · Cited by 181
Mosaicism for trisomy 21: A review
Papavassiliou, P., Charalsawadi, C., Rafferty, K. A., & Jackson‐Cook, C. K. (2014) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.36861 · Cited by 177
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“However, genetic knockdown of type I IFN receptors reduces these phenotypes 148 , suggesting that increased inflammatory activity in the developing brain may drive microglia to excessively prune synapses and disrupt network refinement in the developing brain.”
Hibaoui, Y., Grad, I., Letourneau, A., Sailani, M. R., Dahoun, S., Santoni, F. A., Gimelli, S., Guipponi, M., Pelte, M. F., Béna, F., et al. (2014) · EMBO Molecular Medicine · doi:10.1002/emmm.201302848 · Cited by 170
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Trisomy Correction in Down Syndrome Induced Pluripotent Stem Cells
Li, L. B., Chang, K., Wang, P.-R., Hirata, R. K., Papayannopoulou, T., & Russell, D. W. (2012) · Cell stem cell · doi:10.1016/j.stem.2012.08.004 · Cited by 154 · cited 1×
“Instead, a gene targeting and negative selection strategy has been used to remove the extra chromosome from T21 iPSCs 190,191 .”
Maclean, G., Menne, T., Guo, G., Sanchez, D. J., Park, I.-H., Daley, G., & Orkin, S. (2011) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.1215468109 · Cited by 153 · cited 1×
“In general, T21 iPSCs are karyotypically stable, but there have been reports of the emergence of a mixed population of cells disomic and trisomic for chromosome 21 during serial passaging 194,195 .”
Outcome Measures for Clinical Trials in Down Syndrome
Esbensen, A. J., Hooper, S. R., Fidler, D., Hartley, S. L., Edgin, J., d'Ardhuy, X. L., Capone, G., Conners, F. A., Mervis, C. B., Abbeduto, L., et al. (2017) · American Journal on Intellectual and Developmental Disabilities · doi:10.1352/1944-7558-122.3.247 · Cited by 153
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“However, neurons derived from fetal DS NPCs are more sensitive to reactive oxygen species 96 than those of controls, which may indicate a vulnerability to cell death.”
InfluentialTang, X.-Y., Xu, L., Wang, J., Hong, Y., Wang, Y., Zhu, Q., Wang, D., Zhang, X.-Y., Liu, C.-Y., Fang, K.-H., et al. (2021) · Journal of Clinical Investigation · doi:10.1172/jci135763 · Cited by 143
Self-citationDevelopmental Cell Death in the Cerebral Cortex
Wong, F. K., & Marín, Ó. (2019) · Annual Review of Cell and Developmental Biology · doi:10.1146/annurev-cellbio-100818-125204 · Cited by 139 · cited 1×
“…interneurons in the DS cortex could be owing to reduced neurogenesis of interneurons (similar to cortical excitatory neurons), faulty migration of interneurons to the cortex, abnormal maturation of interneurons 88 , more abundant cell death 89 or a combination of all four of these possibilities.”
Evolution of neuroinflammation across the lifespan of individuals with Down syndrome
Flores-Aguilar, L., Iulita, M. F., Kovecses, O., Torres, M. D., Levi, S. M., Zhang, Y., Askenazi, M., Wisniewski, T., Busciglio, J., & Cuello, A. C. (2020) · Brain · doi:10.1093/brain/awaa326 · Cited by 138 · cited 2×
“…frontal cortex of children with DS have increased soma size relative to controls, indicative of a distinct morphology and potential overactivation 147 . iPSC work has begun to provide further insight into this potential phenotype, implicating a role for interferons (IFNs) in over-pruning and…”
Species-dependent posttranscriptional regulation of NOS1 by FMRP in the developing cerebral cortex
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Self-citationA Single-Cell Roadmap of Lineage Bifurcation in Human ESC Models of Embryonic Brain Development
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“Although many different neuron subtypes can be efficiently generated from hPSCs, these neurons in culture remain immature, with features of fetal neurons 179–181 .”
Ventura-Antunes, L., Mota, B., & Herculano-Houzel, S. (2013) · Frontiers in Neuroanatomy · doi:10.3389/fnana.2013.00003 · Cited by 129 · cited 1×
“…understanding of the impact of T21, but differences in cortical development between mice and humans — including the complexity of progenitor types or the formation of a lissencephalic rather than gyrencephalic brain 153–155 — limit their ability to define mechanisms relevant to the human phenotype.”
Whittle, N., Sartori, S. B., Dierssen, M., Lubec, G., & Singewald, N. (2007) · Pediatrics · doi:10.1542/peds.2006-3448 · Cited by 127
Lin28 promotes the proliferative capacity of neural progenitor cells in brain development
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“…analysis of cortical tissue that showed the robust down-regulation during midfetal cortical development of LIN28B , a gene that promotes proliferation of NPCs in a developmental, stage-specific manner and is one of the genes mutated in the original heterochronic C. elegans mutants 39,150,151 .”
Dendritic and histochemical development and ageing in patients with Down's syndrome
TAKASHIMA, S., IIDA, K., MITO, T., & ARIMA, M. (1994) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.1994.tb00394.x · Cited by 126 · cited 6×
“These differences are present across the cortical laminae 115–118 .”
InfluentialAyberk Kurt, M., Ilker Kafa, M., Dierssen, M., & Ceri Davies, D. (2004) · Brain Research · doi:10.1016/j.brainres.2004.06.075 · Cited by 126 · cited 1×
“The reduced capacity for LTP is driven by increased GABAergic neurotransmission in these animals, and pharmacological reduction of GABAergic neuro-transmission is sufficient to rescue this LTP phenotype 127–129 .”
ISSCR standards for the use of human stem cells in basic research
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“Although the tools used to ensure accurate proportions of interneuron subtypes in a culture system have only recently been developed 132 , simple neuron–glia co-cultures have already provided evidence that astrocytes and microglia do have a role in the DS synaptic phenotype 131,134,135 .”
InfluentialFamilial 4.3 Mb duplication of 21q22 sheds new light on the Down syndrome critical region
Ronan, A., Fagan, K., Christie, L., Conroy, J. M., Nowak, N. J., & TURNER, G. M. (2007) · Journal of Medical Genetics · doi:10.1136/jmg.2006.047373 · Cited by 122 · cited 1×
“Specifically, reports of DS cases in which the DSCR or candidate driver genes were absent cast doubt on the idea that the DSCR or increased gene dosage of any particular gene drives DS phenotypes 209,210 .”
Huo, H.-Q., Qu, Z.-Y., Yuan, F., Ma, L., Yao, L., Xu, M., Hu, Y., Ji, J., Bhattacharyya, A., Zhang, S.-C., et al. (2018) · Stem Cell Reports · doi:10.1016/j.stemcr.2018.02.001 · Cited by 122 · cited 4×
“…and matched lines of trisomic organoids differentiated to produce neurons with a ventral forebrain fate 91 , whereas other studies have shown a significant decrease in calretinin-expressing interneurons that was concomitant with a significant decrease in calbindin-expressing interneurons 84,90 .”
InfluentialSelf-citationWeitzdoerfer, R., Dierssen, M., Fountoulakis, M., & Lübec, G. (2001) · Springer eBooks · doi:10.1007/978-3-7091-6262-0_5 · Cited by 122
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“Cells from people with mosaic DS are particularly valuable because their mosaicism arose early in development 186,187 .”
Neurogenesis impairment: An early developmental defect in Down syndrome
Stagni, F., Giacomini, A., Emili, M., Guidi, S., & Bartesaghi, R. (2018) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2017.07.026 · Cited by 120
In vivo modeling of human neuron dynamics and Down syndrome
Real, R., Peter, M., Trabalza, A., Khan, S., Smith, M. A., Dopp, J., Barnes, S. J., Momoh, A., Strano, A., Volpi, E., et al. (2018) · Science · doi:10.1126/science.aau1810 · Cited by 120 · cited 2×
“Moreover, neurons generated from iPSCs derived from individuals with DS have little to no capacity for either LTP or LTD in vitro 132 , and when transplanted into the mouse brain, these neurons have reduced structural plasticity relative to controls 133 .”
Metabolomics analysis of children with autism, idiopathic-developmental delays, and Down syndrome
Sotelo-Orozco, J., Hertz‐Picciotto, I., Abbeduto, L., & Slupsky, C. M. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0578-3 · Cited by 118
Transcript catalogs of human chromosome 21 and orthologous chimpanzee and mouse regions
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“In the 1990s and 2000s, efforts were undertaken to sequence, map and annotate HSA21 in its entirety 202–208 .”
Esposito, G., Imitola, J., Lu, J., De Filippis, D., Scuderi, C., Ganesh, V. S., Folkerth, R., Hecht, J., Shin, S., Iuvone, T., et al. (2008) · Human Molecular Genetics · doi:10.1093/hmg/ddm322 · Cited by 115 · cited 1×
“For example, human neural progenitor cells (hNPCs) derived from fetal cortical tissue from individuals with DS can be cultured in suspension as neurospheres , the growth of which is correlated with NPC proliferation 66–69 .”
Human brain evolution writ large and small
Sherwood, C. C., Bauernfeind, A. L., Bianchi, S., Raghanti, M. A., & Hof, P. R. (2012) · Progress in Brain Research · doi:10.1016/b978-0-444-53860-4.00011-8 · Cited by 113
Regulatory roles of mitochondria and metabolism in neurogenesis
Iwata, R., & Vanderhaeghen, P. (2021) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2021.05.003 · Cited by 109 · cited 2×
“Mitochondrial morphology and function have, however, been found to be important for various aspects of neurodevelopment, including processes such as neurogenesis, neuronal specification and synapse formation 180,216–218 .”
Hergenreder, E., Minotti, A. P., Zorina, Y., Oberst, P., Zhao, Z., Munguba, H., Calder, E. L., Baggiolini, A., Walsh, R. M., Liston, C. M., et al. (2024) · Nature Biotechnology · doi:10.1038/s41587-023-02031-z · Cited by 109 · cited 1×
“Methods are, therefore, being developed to increase the functional maturity of iPSC-derived neurons in vitro 182,183 .”
Handel, A. E., Chintawar, S., Lalic, T., Whiteley, E. S., Vowles, J., Giustacchini, A., Argoud, K., Sopp, P., Nakanishi, M., Bowden, R. J., et al. (2016) · Human Molecular Genetics · doi:10.1093/hmg/ddv637 · Cited by 108 · cited 1×
“Although many different neuron subtypes can be efficiently generated from hPSCs, these neurons in culture remain immature, with features of fetal neurons 179–181 .”
Hyperkalemia during Anesthesia
Wisniewski, K. E., Laure‐Kamionowska, M., & Wisniewski, H. M. (1984) · New England Journal of Medicine · doi:10.1056/nejm198411013111818 · Cited by 105 · cited 1×
“The fetal cortex, cerebellum and hippocampus have all been shown to contain fewer neurons in individuals with DS than in controls 40–48 , albeit based on small sample sizes 17 .”
Relationship Between Brain and Cognitive Processes in Down Syndrome
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“There is evidence that neurodevelopmental impairment and neuronal dysfunction contribute to the hallmark cognitive deficits observed in individuals with DS 8,9 .”
Human-specific genomic signatures of neocortical expansion
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Astrocytes in the developing human brain
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Silencing Trisomy 21 with XIST in Neural Stem Cells Promotes Neuronal Differentiation
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“Thus, hPSC differentiation enables the analysis of early developmental periods in humans that occur during embryonic and fetal stages and are otherwise inaccessible 70,71,75,77,157 .”
InfluentialRapid and Efficient Generation of Myelinating Human Oligodendrocytes in Organoids
Shaker, M. R., Pietrogrande, G., Martin, S., Lee, J., Sun, W., & Wolvetang, E. J. (2021) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2021.631548 · Cited by 94 · cited 1×
“Examining oligodendrocyte differentiation and studying their development are limited in iPSC models, largely because of the time-consuming nature and limited efficiency of the methods used to produce these cells in vitro 109,110 .”
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Down-syndrome-induced senescence disrupts the nuclear architecture of neural progenitors
Meharena, H. S., Marco, A., Dileep, V., Lockshin, E. R., Akatsu, G. Y., Mullahoo, J., Watson, L. A., Ko, T., Guerin, L. N., Abdurrob, F., et al. (2022) · Cell Stem Cell · doi:10.1016/j.stem.2021.12.002 · Cited by 92 · cited 3×
“One hypothesis is that the presence of extra genomic material changes the physical architecture of the nucleus, thus disrupting the spatial organization of chromatin and resulting in consequent regulatory differences 156,213 .”
Human evolution: the non-coding revolution
Franchini, L. F., & Pollard, K. S. (2017) · BMC Biology · doi:10.1186/s12915-017-0428-9 · Cited by 90 · cited 1×
“Comparison of the genomes of humans and model organisms has revealed subtle differences in gene sequences, the presence of human specific genes and other differences that probably contribute to gene regulation 163–166 .”
INCOMPLETE TRISOMY IN A MONGOLOID CHILD EXHIBITING MINIMAL STIGMATA
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Reduced cell number in the neocortical part of the human fetal brain in Down syndrome
Larsen, K. B., Laursen, H., Græm, N., Samuelsen, G. B., Bogdanovic, N., & Pakkenberg, B. (2008) · Annals of Anatomy - Anatomischer Anzeiger · doi:10.1016/j.aanat.2008.05.007 · Cited by 87
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“For example, DS has been shown to alter the secretome (the factors secreted by cells) of astrocytes, which exerts a direct impact on synaptogenesis 131,144 .”
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“In fact, the sole electron microscopic study of the fetal brain of individuals with DS 119 reports that the synapse density of cortical neurons is comparable in individuals with DS and controls at midfetal stages, but that measures of synaptic morphology — such as the width and length of the…”
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“Although there are no studies directly assessing the metabolome of cells in the developing brain of individuals with DS, plasma, serum and urine samples have revealed a significantly different metabolomic signature in DS, which is probably caused by mitochondrial dysfunction 221–223 .”
Whole-brain voxel-based morphometry study of children and adolescents with Down syndrome.
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“There is evidence that neurodevelopmental impairment and neuronal dysfunction contribute to the hallmark cognitive deficits observed in individuals with DS 8,9 .”
Evidence of Arrest of Neurogenesis and Synaptogenesis in Brains of Patients with Down's Syndrome
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“Mitochondrial morphology and function have, however, been found to be important for various aspects of neurodevelopment, including processes such as neurogenesis, neuronal specification and synapse formation 180,216–218 .”
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“These cognitive and brain structure deficits emerge as early as 6 months of age and progress to have substantial impacts on daily life, as well as academic and occupational outcomes 5–7 .”
Rigor and reproducibility in human brain organoid research: Where we are and where we need to go
Sandoval, S. O., Cappuccio, G., Kruth, K., Osenberg, S., Khalil, S. M., Méndez-Albelo, N. M., Padmanabhan, K., Wang, D., Niciu, M. J., Bhattacharyya, A., et al. (2024) · Stem Cell Reports · doi:10.1016/j.stemcr.2024.04.008 · Cited by 80 · cited 1×
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InfluentialMito, T., & Becker, L. E. (1993) · Experimental Neurology · doi:10.1006/exnr.1993.1052 · Cited by 75 · cited 3×
“Specifically, the production and differentiation of neurons and astrocytes are disrupted during neurodevelopment in DS, resulting in fewer neurons and a greater proportion of astrocytes relative to neurons 41,46,99,101,102,160 .”
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New approaches to studying early brain development in Down syndrome
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“Fetuses and infants with Down syndrome (DS) exhibit gross anatomical deficits in brain structure, including lower whole-brain volume, thinner cortex, and reduced gyral and sulcal complexity 6,9,10,12–15 .”
Primate-Specific Long Non-Coding RNAs and MicroRNAs
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“For example, novel long non-coding RNAs and microRNAs that may affect cortical development are present in human and non-human primates 167 , but not in other species.”
Optimizing neuronal differentiation from induced pluripotent stem cells to model ASD
Kim, D.-S., Ross, P. J., Zaslavsky, K., & Ellis, J. (2014) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2014.00109 · Cited by 70 · cited 1×
“…including variability and limited functional maturation (Box 1), the differentiation of iPSCs into neural cells recapitulates many of the neurodevelopmental features observed in prenatal human tissue and occurs in a temporal sequence that roughly corresponds to in vivo corticogenesis 29–31 .”
The sequence of human chromosome 21 and implications for research into Down syndrome.
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Down's Syndrome in Adults: Brain Metabolism
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“A more recent study, which profiled dermal fibroblasts from individuals with DS and unaffected individuals, has shown that the stress-related mitochondrial dysfunction observed in DS might be caused by abnormal central carbon metabolism 226 .”
Frank, K., & Esbensen, A. J. (2015) · Journal of Intellectual Disability Research · doi:10.1111/jir.12176 · Cited by 66 · cited 1×
“…developmental onset of these network-level disruptions — which are probably the product of altered synapse formation and function — coincides with the emergence of intellectual disability, suggesting that the cognitive deficits may be the product of impaired network-level function 37,140–142 .”
Evolution of Gene Regulation in Humans
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Global hypermethylation in fetal cortex of Down syndrome due to DNMT3L overexpression
Lu, J., Mccarter, M., Lian, G., Esposito, G., Capoccia, E., Delli-Bovi, L. C., Hecht, J. L., & Sheen, V. L. (2016) · Human Molecular Genetics · doi:10.1093/hmg/ddw043 · Cited by 65 · cited 1×
“Histone modifications, DNA methylation and chromatin accessibility measured by assay for transposase-accessible chromatin with high-throughput sequencing (ATAC-seq) are consistently altered in T21 cells 212–215 .”
OLIG2 over-expression impairs proliferation of human Down syndrome neural progenitors
Lu, J., Lian, G., Zhou, H., Esposito, G., Steardo, L., Delli-Bovi, L. C., Hecht, J. L., Lu, Q. R., & Sheen, V. (2012) · Human Molecular Genetics · doi:10.1093/hmg/dds052 · Cited by 63 · cited 1×
“For example, human neural progenitor cells (hNPCs) derived from fetal cortical tissue from individuals with DS can be cultured in suspension as neurospheres , the growth of which is correlated with NPC proliferation 66–69 .”
Sobol, M., Klar, J., Laan, L., Shahsavani, M., Schuster, J., Annerén, G., Konzer, A., Mi, J., Bergquist, J., Nordlund, J., et al. (2019) · Molecular Neurobiology · doi:10.1007/s12035-019-1585-3 · Cited by 61
Comparative 3D genome architecture in vertebrates
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“Furthermore, there are species differences in 3D genome architecture 171 and, thus, human cells are required to accurately investigate how the presence of an extra chromosome impacts 3D genome architecture.”
Treating enhanced GABAergic inhibition in Down syndrome: Use of GABA α5-selective inverse agonists
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“Co-culture with T21 iPSC-derived astrocytes also reduces the intrinsic excitability of neurons and tends to have a consequent impact on synaptic development and transmission 82,135,145 .”
Self-citationPediatric Brain Development in Down Syndrome: A Field in Its Infancy
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“However, this neuroanatomical evidence is insufficient on its own to explain the neurodevelopmental deficits and biological processes that drive intellectual disability 16 .”
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Down Syndrome iPSC-Derived Astrocytes Impair Neuronal Synaptogenesis and the mTOR Pathway In Vitro
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“…data from human iPSC-derived neurons indicate that neurons from humans with DS not only have reduced excitatory synaptic density relative to controls but also exhibit functional deficits in excitatory synaptic transmission, including reduced frequency of spontaneous post-synaptic currents 81,131 .”
InfluentialThe Structure of the Cerebral Cortex in Down's Syndrome – A quantitative analysis –
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“Specifically, the production and differentiation of neurons and astrocytes are disrupted during neurodevelopment in DS, resulting in fewer neurons and a greater proportion of astrocytes relative to neurons 41,46,99,101,102,160 .”
Gardiner, K., Slavov, D. B., Bechtel, L. J., & Davisson, M. T. (2002) · Genomics · doi:10.1006/geno.2002.6782 · Cited by 54
Mosaic Down's syndrome prevalence in a complete population study
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DNA-Methylation Patterns in Trisomy 21 Using Cells from Monozygotic Twins
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INCOMPLETE TRISOMY IN A MONGOLOID CHILD EXHIBITING MINIMAL STIGMATA
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Quantitative MRI Analyses of Regional Brain Growth in Living Fetuses with Down Syndrome
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“Co-culture with T21 iPSC-derived astrocytes also reduces the intrinsic excitability of neurons and tends to have a consequent impact on synaptic development and transmission 82,135,145 .”
All Creatures Great and Small: New Approaches for Understanding Down Syndrome Genetics
Moyer, A. J., Gardiner, K., & Reeves, R. H. (2021) · Trends in Genetics · doi:10.1016/j.tig.2020.09.017 · Cited by 49
METABOLIC STUDIES IN MONGOLISM
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“Although there are no studies directly assessing the metabolome of cells in the developing brain of individuals with DS, plasma, serum and urine samples have revealed a significantly different metabolomic signature in DS, which is probably caused by mitochondrial dysfunction 221–223 .”
Anderson, N. C., Chen, P.-F., Meganathan, K., Saber, W. A., Petersen, A. J., Bhattacharyya, A., Kroll, K. L., & Şahin, M. (2021) · Stem Cell Reports · doi:10.1016/j.stemcr.2021.03.025 · Cited by 48
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“Although therapeutic targeting of this altered excitation–inhibition ratio proved successful in treating cognitive deficits in mice, similar strategies did not prove efficacious for the treatment of intellectual disability in individuals with DS 130 .”
Abnormal development of the inferior temporal region in fetuses with Down syndrome
Guidi, S., Giacomini, A., Stagni, F., Emili, M., Uguagliati, B., Bonasoni, M. P., & Bartesaghi, R. (2018) · Brain Pathology · doi:10.1111/bpa.12605 · Cited by 47 · cited 4×
“Several studies have shown that fewer interneurons are present in the cortex of individuals with DS 44,46,84 than in that of controls, suggesting that reduced generation of interneurons contributes to the overall reduced neurogenesis in DS. Interneurons are generated from progenitors located in the…”
InfluentialNeurodevelopment in Down syndrome: Concordance in humans and models
Klein, J. A., & Haydar, T. F. (2022) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2022.941855 · Cited by 47 · cited 2×
“32–35).”
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Monozygotic twins discordant for trisomy 21 and maternal 21q inheritance: A complex series of events
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The Down Syndrome Cognition Project, Channell, M. M., Mattie, L. J., Hamilton, D. R., Capone, G. T., Mahone, E. M., Sherman, S. L., Rosser, T. C., Reeves, R. H., & Kalb, L. G. (2021) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-021-09365-2 · Cited by 41 · cited 1×
“First, although effect sizes for DS phenotypes are generally high, the cognitive and behavioural profiles of individuals with DS are considerably variable 184 .”
Accelerated epigenetic aging in newborns with Down syndrome
Xu, K., Li, S., Muskens, I. S., Elliott, N., Myint, S. S., Pandey, P., Hansen, H. M., Morimoto, L. M., Kang, A. Y., Ma, X., et al. (2022) · Aging Cell · doi:10.1111/acel.13652 · Cited by 41
Species-specific FMRP regulation of RACK1 is critical for prenatal cortical development
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Self-citationPlasma metabolome and cognitive skills in Down syndrome
Antonaros, F., Ghini, V., Pulina, F., Ramacieri, G., Cicchini, E., Mannini, E., Martelli, A., Feliciello, A., Lanfranchi, S., Onnivello, S., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-67195-z · Cited by 40
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Altered patterning of trisomy 21 interneuron progenitors
Giffin-Rao, Y., Sheng, J., Strand, B., Xu, K., Huang, L., Medo, M., Risgaard, K. A., Dantinne, S., Mohan, S., Keshan, A., et al. (2022) · Stem Cell Reports · doi:10.1016/j.stemcr.2022.05.001 · Cited by 38
Self-citationFreeburn, A., & Munn, R. G. K. (2021) · Neuronal Signaling · doi:10.1042/ns20200011 · Cited by 37 · cited 1×
“in deciphering the mechanisms governing brain development and function, as well as the consequences of DS-related manipulations for those mechanisms 18–22 .”
Reducing Gabaergic Inhibition Restores Cognitive Functions in a Mouse Model of Down Syndrome
Potier, M.-C., Braudeau, J., Dauphinot, L., & Delatour, B. (2014) · CNS & Neurological Disorders - Drug Targets · doi:10.2174/18715273113126660185 · Cited by 34 · cited 1×
“The reduced capacity for LTP is driven by increased GABAergic neurotransmission in these animals, and pharmacological reduction of GABAergic neuro-transmission is sufficient to rescue this LTP phenotype 127–129 .”
Kawatani, K., Nambara, T., Nawa, N., Yoshimatsu, H., Kusakabe, H., Hirata, K., Tanave, A., Sumiyama, K., Banno, K., Taniguchi, H., et al. (2021) · Communications Biology · doi:10.1038/s42003-021-02242-7 · Cited by 34 · cited 1×
“This increased astrogliogenesis can be partially reversed by the silencing of HSA21 by the non-coding RNA XIST in iPSC-derived astrocyte progenitor cells 104,105 .”
Synaptic Pathology of Down Syndrome
Garner, C. C., & Wetmore, D. Z. (2012) · Advances in Experimental Medicine and Biology · doi:10.1007/978-3-7091-0932-8_20 · Cited by 33
Regional Alterations in Cortical Sulcal Depth in Living Fetuses with Down Syndrome
Yun, H. J., Perez, J. D. R., Sosa, P., Valdés, J. A., Madan, N., Kitano, R., Akiyama, S., Skotko, B. G., Feldman, H. A., Bianchi, D. W., et al. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhaa255 · Cited by 33
Apoptosis in Down’s syndrome: lessons from studies of human and mouse models
Rueda, N., Flórez, J., & Martínez‐Cué, C. (2012) · APOPTOSIS · doi:10.1007/s10495-012-0785-3 · Cited by 31 · cited 1×
“Increased cell death of NPCs and/or neurons is an alternative mechanism for the hypo-cellularity of the developing cortex in DS 94 .”
Autonomous trisomic rescue of Down syndrome cells
Inoue, M., Kajiwara, K., Yamaguchi, A., Kiyono, T., Samura, O., Akutsu, H., Sago, H., Okamoto, A., & Umezawa, A. (2019) · Laboratory Investigation · doi:10.1038/s41374-019-0230-0 · Cited by 30 · cited 1×
“In general, T21 iPSCs are karyotypically stable, but there have been reports of the emergence of a mixed population of cells disomic and trisomic for chromosome 21 during serial passaging 194,195 .”
McCann, B., Levman, J., Baumer, N., Lam, M. Y., Shiohama, T., Cogger, L., MacDonald, A., Ijner, P., & Takahashi, E. (2021) · NeuroImage: Clinical · doi:10.1016/j.nicl.2021.102815 · Cited by 30 · cited 1×
“Fetuses and infants with Down syndrome (DS) exhibit gross anatomical deficits in brain structure, including lower whole-brain volume, thinner cortex, and reduced gyral and sulcal complexity 6,9,10,12–15 .”
Assessment of radial glia in the frontal lobe of fetuses with Down syndrome
Baburamani, A. A., Vontell, R. T., Uus, A., Pietsch, M., Patkee, P. A., Wyatt-Ashmead, J., Chin-Smith, E. C., Supramaniam, V. G., Donald Tournier, J., Deprez, M., et al. (2020) · Acta Neuropathologica Communications · doi:10.1186/s40478-020-01015-3 · Cited by 29 · cited 1×
“…suggests that fewer NPCs are produced before the transition to neurogenesis, which ultimately sets the stage for the production of fewer neurons 11,40,42–44, Second, it has been hypothesized that there is a premature transition from the neurogenic to the gliogenic stages, expanding the window…”
Aberrant Oligodendrogenesis in Down Syndrome: Shift in Gliogenesis?
Reiche, L., Küry, P., & Göttle, P. (2019) · Cells · doi:10.3390/cells8121591 · Cited by 28 · cited 1×
“Indeed, studies using transcriptomics and new analytical tools have suggested that neurogenesis, gliogenesis and myelination may be temporally altered in DS 39,106,107 .”
A Search for Genes from the Dark Band Regions of Human Chromosome 21
Xu, H., Wei, H., Tassone, F., et al. (1995) · Genomics · doi:10.1006/geno.1995.1001 · Cited by 27
Shiohama, T., Levman, J., Baumer, N., & Takahashi, E. (2019) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2019.03.015 · Cited by 27 · cited 2×
“Fetuses and infants with Down syndrome (DS) exhibit gross anatomical deficits in brain structure, including lower whole-brain volume, thinner cortex, and reduced gyral and sulcal complexity 6,9,10,12–15 .”
Trisomy 21 results in modest impacts on mitochondrial function and central carbon metabolism
Anderson, C. C., Marentette, J., Prutton, K. M., Rauniyar, A. K., Reisz, J. A., D’Alessandro, A., Maclean, K. N., Saba, L. M., & Roede, J. R. (2021) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2021.06.003 · Cited by 27
Progenitor-Based Cell Biological Aspects of Neocortex Development and Evolution
Vaid, S., & Huttner, W. B. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.892922 · Cited by 27 · cited 1×
“…understanding of the impact of T21, but differences in cortical development between mice and humans — including the complexity of progenitor types or the formation of a lissencephalic rather than gyrencephalic brain 153–155 — limit their ability to define mechanisms relevant to the human phenotype.”
Klein, J. A., Li, Z., Rampam, S., Cardini, J., Ayoub, A., Shaw, P., Rachubinski, A. L., Espinosa, J. M., Zeldich, E., & Haydar, T. F. (2022) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2021.794675 · Cited by 27 · cited 2×
“Several studies have used this approach 73–75, 81, 84, The generation of iPSCs from monozygotic twins discordant for T21 also eliminates the effects of the variability of genomic background (see the figure, part b ).”
Neuroanatomical alterations in higher-order thalamic nuclei of fetuses with Down syndrome
Stagni, F., Giacomini, A., Emili, M., Uguagliati, B., Bonasoni, M. P., Bartesaghi, R., & Guidi, S. (2020) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2020.105870 · Cited by 26 · cited 1×
“Analyses of fetal brain tissue indicate that there are fewer proliferating cells, as measured by their expression of the cell cycle marker Ki67 and of cyclin proteins, in the germinal zones of the hippocampus and cortex in DS 40,42–44, 47, 50, 64 .”
He, C., Kalafut, N. C., Sandoval, S. O., Risgaard, R. D., Sirois, C. L., Yang, C., Khullar, S., Suzuki, M., Huang, X., Chang, Q., et al. (2023) · Cell Reports Methods · doi:10.1016/j.crmeth.2023.100409 · Cited by 25 · cited 1×
“Comparison of single-cell datasets from human iPSC models of corticogenesis to those obtained from in vivo fetal tissue data, such as PsychEnCODE 172 , using tools such as BOMA 173 , validates iPSC modelling of the mechanisms of human cortical development 174,175 .”
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Mouse models of aneuploidy to understand chromosome disorders
Tosh, J., Tybulewicz, V., & Fisher, E. M. C. (2022) · Mammalian Genome · doi:10.1007/s00335-021-09930-z · Cited by 24 · cited 2×
“Although mouse models of DS have been generated, it is not possible to generate mice harbouring three copies of every gene on human chromosome 21 (HSA21) while maintaining human-like gene regulation because the genes on HSA21 are localized on at least three different murine chromosomes.”
Asynchronous excitatory neuron development in an isogenic cortical spheroid model of Down syndrome
Li, Z., Klein, J. A., Rampam, S., Kurzion, R., Campbell, N. B., Patel, Y., Haydar, T. F., & Zeldich, E. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.932384 · Cited by 24 · cited 5×
“74,143,156–158).”
InfluentialComprehensive volumetric phenotyping of the neonatal brain in Down syndrome
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“Fetuses and infants with Down syndrome (DS) exhibit gross anatomical deficits in brain structure, including lower whole-brain volume, thinner cortex, and reduced gyral and sulcal complexity 6,9,10,12–15 .”
Impaired brain glucose metabolism in patients with Down Syndrome
Labudová, O., Cairns, N. J., Kitzmüller, E., & Lübec, G. (1999) · Springer eBooks · doi:10.1007/978-3-7091-6380-1_16 · Cited by 24
Auditory and visual sustained attention in Down syndrome
Faught, G. G., Conners, F. A., & Himmelberger, Z. M. (2016) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2016.01.021 · Cited by 22
Postnatal Cerebral Maturation in Down's Syndrome Children: A Developmental Eeg Coherence Study
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“Instead, a gene targeting and negative selection strategy has been used to remove the extra chromosome from T21 iPSCs 190,191 .”
Subicular hypotrophy in fetuses with Down syndrome and in the Ts65Dn model of Down syndrome
Stagni, F., Giacomini, A., Emili, M., Uguagliati, B., Bonasoni, M. P., Bartesaghi, R., & Guidi, S. (2019) · Brain Pathology · doi:10.1111/bpa.12663 · Cited by 21
Modeling Down syndrome in cells: From stem cells to organoids
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Research works printed but not linked: 3
- Quinonez, S. C. & Barsh, G. in Pathophysiology of Disease: An Introduction to Clinical Medicine (eds Hammer, G. D. & McPhee, S. J.) Ch. 2 (McGraw-Hill Education, 2019).
- Gould, S. J. Ontogeny and Phylogeny 9 (Harvard Univ. Press, 1977).
- Down, J. L. H. Observations on an ethnic classification of idiots. Lond. Hospital Rep. 3, 259–262 (1866).
Cited by
Sorted by citations
Black gas, bright future: H2S based therapeutics for neurodegenerative disorders
Morris, J. L., Lee, J. J., Morris, R. E., & Miljković, J. L. (2025) · Neurotherapeutics · doi:10.1016/j.neurot.2025.e00755 · Cited by 14
“Down syndrome (trisomy 21) presents a unique scenario in which H 2 S is in excess rather than deficient [83].”
Molecular and cellular processes disrupted in the early postnatal Down syndrome prefrontal cortex
Risgaard, R. D., Hanthanan Arachchilage, K., Knaack, S. A., Hosseini, M., Chen, R. J., Kumarage, P., Schmidt, D. K., Huang, X., Sheng, J., Wang, C. J., et al. (2026) · Science · doi:10.1126/science.aea1549 · Cited by 12
Self-citationVuong, C. K., Weber, A., Seong, P., Matoba, N., Chen, Y.-J., Peyer, J., Younesi, S., Salinda, A., Gomez, D., Rivas, G., et al. (2026) · Science · doi:10.1126/science.aea1259 · Cited by 18
Single‐nucleus analysis reveals oxidative stress in Down syndrome basal forebrain neurons at birth
West, N. R., Arachchilage, K. H., Knaack, S., MacGregor, S., Hosseini, M., Risgaard, R. D., Kumarage, P., Martinez, J. L., Zhang, S., Wang, D., et al. (2025) · Alzheimer s & Dementia · doi:10.1002/alz.70445 · Cited by 8
“Recently, the important role of glia in neurodegenerative diseases, including DS, 65,66 has emerged.”
InfluentialSelf-citationTu, X., Zhang, F., Chen, J., et al. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1632250 · Cited by 6
Metadata
- Authors
- Russo, M. L., Sousa, A. M. M., & Bhattacharyya, A.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Bhattacharyya, Anita
- Venue
- Nature Reviews Neuroscience
- Published
- 2024-10-08
- Volume
- 25
- Issue
- 11
- Pages
- 740-755
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- PMC
- PMC11834940
- OpenAlex
- W4403209500
- Cited by
- 28
- References
- 224
- Citations by year
- 2026: 14 · 2025: 13 · 2024: 1
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion)
- Funders
- Brain Research Foundation (BRFSG-2023-11)
- Waisman Center (P50HD105353)
- National Institutes of Health (5p30hd003352-49)
- National Institute of Mental Health (UM1MH130991)
- National Institute of Child Health and Human Development (P50-HD105353)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50HD105353, R01HD106197, P30-HD003352, R01HD111938)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Life Sciences › Neuroscience › Developmental Neuroscience › Williams Syndrome Research
- Keywords
- Down syndrome, brain development, intellectual disability, cognitive impairment, brain structure, neurodevelopmental mechanisms, induced pluripotent stem cell models, single-cell omics, postmortem brain
- MeSH terms
- Animals, Brain, Down Syndrome, Humans, Induced Pluripotent Stem Cells
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.
A language model drew the claims from the paper on 2026-10-27, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-27 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
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 ›
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