Cited by 62Neurogenesis and neuroplasticity mechanismsNeuroscience and Neuropharmacology ResearchMemory and Neural Mechanisms

Therapeutically viable generation of neurons with antisense oligonucleotide suppression of PTB

Open access
Maimon, Roy, Chillon-Marinas, Carlos, Snethlage, Cedric E., Singhal, Sarthak M., McAlonis-Downes, Melissa, Ling, Karen, Rigo, Frank, Bennett, C. Frank +4 more·2021·Nature Neuroscience

Abstract

Methods to enhance adult neurogenesis by reprogramming glial cells into neurons enable production of new neurons in the adult nervous system. Development of therapeutically viable approaches to induce new neurons is now required to bring this concept to clinical application. Here, we successfully generate new neurons in the cortex and dentate gyrus of the aged adult mouse brain by transiently suppressing polypyrimidine tract binding protein 1 using an antisense oligonucleotide delivered by a single injection into cerebral spinal fluid. Radial glial-like cells and other GFAP-expressing cells convert into new neurons that, over a 2-month period, acquire mature neuronal character in a process mimicking normal neuronal maturation. The new neurons functionally integrate into endogenous circuits and modify mouse behavior. Thus, generation of new neurons in the dentate gyrus of the aging brain can be achieved with a therapeutically feasible approach, thereby opening prospects for production of neurons to replace those lost to neurodegenerative disease. Maimon et al. demonstrate a therapeutically viable approach, single-dose injection of a DNA drug to suppress synthesis of PTB, to generate new neurons in the aged mouse hippocampus and enhance memory after their integration into endogenous circuits.

AI snapshot

Written from the paper’s full text.

TL;DR

A single intracerebroventricular antisense oligonucleotide (ASO) injection transiently suppresses PTB and generates new neurons in the cortex and dentate gyrus of aged adult mice, with the new dentate gyrus neurons maturing and integrating into hippocampal circuits. The approach also increases neurons in human brain organoids and improves hippocampal-dependent behavior in mice, supporting a therapeutically feasible route to neuron replacement.

Key findings

  • In 5-month-old GFAP-CreERT2; CAG-lox-stop-lox-tdTomato mice, PTB-ASO injection into CSF produced a 37.5-fold increase in tdTomato+, NeuN+ newly generated dentate gyrus neurons versus saline/control ASO; 15% (±5%, n=3) of total tdTomato+ cells were NeuN+, and newly induced neurons comprised 7.8% of total granular cell layer neurons.
  • In aged mice injected at 1 year and analyzed two months later, PTB-ASO generated new dentate gyrus neurons comprising 4.5% of total dentate gyrus neurons, with conversion of 5% of all tdTomato-positive cells into tdTomato+, NeuN+ neurons; without PTB suppression, no new dentate gyrus neurons were detected in aged controls.
  • New neurons followed a maturation time course: DCX+ immature neurons increased 26.3-fold and 49.2-fold at 1 and 2 weeks after PTB-ASO, respectively; by 2 months, 92.7% of tdTomato+ neuronal cells no longer expressed DCX, and 97% of those had converted to NeuN.
  • PTB-ASO-generated dentate gyrus neurons received spontaneous excitatory and inhibitory synaptic currents and fired action potentials indistinguishable from neighboring endogenous neurons; PTB-ASO-treated aged mice performed better in Barnes maze and novel object recognition tests.

Methods

  • ASOs complementary to human and murine PTB pre-mRNA were screened in mouse cells and tested for tolerability after ICV injection; two lead PTB-ASOs were used for subsequent experiments.
  • New neuron generation was tracked in human brain organoids and in congenic C57BL/6 mice carrying GFAP-CreERT2 and CAG-lox-stop-lox-tdTomato reporters, with tamoxifen-induced labeling of GFAP-expressing cells followed by single-dose ICV injection of PTB-ASO or control ASO into CSF.
  • Analyses included qPCR for PTB/nPTB and markers, immunofluorescence for NeuN, GFAP, DCX, Ki67, Tuj1, MAP2, SOX2, and caspase 3, morphological reconstruction, electrophysiology, and blinded behavioral assays including open field, optomotor, Barnes maze, and novel object recognition.

Limitations

  • The paper states that the ASOs used are not clinical candidates, PTB suppression was less than 50% in most brain regions, and optimization for minimal toxicity and maximal efficacy is still needed; in the hippocampus, where PTB was reduced by more than 50%, robust conversion occurred even in aged mice.
  • The text makes evident that the in vivo evidence is from mice, with human data limited to brain organoids in vitro; no human in vivo therapeutic validation is reported.
  • Several experiments rely on small sample sizes (for example, n=3 biological repeats in multiple assays), and the aged cortex showed only limited new neuron formation compared with the dentate gyrus.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1038/s41593-021-00864-y

Cites

70 of 70 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

27 of 39 cited sources checked · 9 supported · 1 flagged · accuracy not yet measured

  • Interpretationcitation

    Reduction in PTB triggered radial glial-like cells to convert into new granular neurons through what appears to be the typical developmental process by which new hippocampal neurons mature during development and in young adult animals.

    “reduction in PTB triggered radial glial-like cells to convert into new granular neurons through what appears to be the typical developmental process by which new hippocampal neurons mature during development39 and in young adult animals40.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [39] Altman, J. & Bayer, S. A. Migration and distribution of two populations of hippocampal granule cell precursors during the perinatal and postnatal periods. J. Comp. Neurol. 301, 365–381 (1990). source
    • cites [40] Kempermann, G., Song, H. & Gage, F. H. Neurogenesis in the adult hippocampus. Cold Spring Harb. Perspect. Biol. 7, 9 (2015). source
  • Premisecitation

    Optimized ASOs to other targets have previously been shown to yield dose dependent target RNA suppression to 5% of initial level.

    “optimized ASOs to other targets have previously been shown to yield dose dependent target RNA suppression to 5% of initial level13,14,48.”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites [13] Smith, R. A. et al. Antisense oligonucleotide therapy for neurodegenerative disease. J. Clin. Invest. 116, 2290–2296 (2006). source
    • cites [14] Kordasiewicz, H. B. et al. Sustained therapeutic reversal of Huntington’s disease by transient repression of huntingtin synthesis. Neuron 74, 1031–1044 (2012). source

      The Results section reports dose-dependent suppression of human huntingtin mRNA by an ASO, to 42% and 28% of vehicle levels at the two doses tested. It does not report suppression to 5% of initial levels or establish that result for other targets. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [48] Bennett, C. F., Krainer, A. R. & Cleveland, D. W. Antisense oligonucleotide therapies for neurodegenerative diseases. Annu. Rev. Neurosci. 42, 385–406 (2019). source

      The Alzheimer’s Disease section (page unavailable) reports dose-dependent reductions in tau expression and tau mRNA after treatment with tau-targeting ASOs. It does not report suppression of target RNA to 5% of its initial level, so the claimed magnitude is unsupported by this source. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Findingown data

    Transient suppression of PTB using an ASO delivered by a single injection into CSF generates new neurons in the cortex and dentate gyrus of the aged adult mouse brain.

    “Here, we successfully generate new neurons in the cortex and dentate gyrus of the aged adult mouse brain by transiently suppressing Polypyrimidine-Tract-Binding-Protein-1 (PTB) using an antisense-oligonucleotide (ASO) delivered by a single injection into cerebral spinal fluid.”
    Quote in the paperSubstantial claim
  • Findingown data

    In the hippocampus of adult mice, almost all (97%) of tdTomato-expressing neurons did not accumulate detectable levels of GFAP two months after ASO injection.

    “In the hippocampus of adult mice, almost all (97%) of tdTomato-expressing neurons did not accumulate detectable levels of GFAP two months after ASO injection (Figure 3a,b).”
    Quote in the paperSubstantial claim
  • Findingown data

    The number of cells expressing the neuronal protein marker NeuN was slightly elevated in PTB-ASO treated organoids compared with control ASO treated organoids.

    “The number of cells expressing the neuronal protein marker NeuN was slightly elevated (Figure 1g,h).”
    Quote in the paperSubstantial claim
  • May combine two claims. 34
  • Classified as probably not a substantial claim. 16
  • The quote only partly states this claim. 2
  • May combine two claims.

    Premisecitation

    ASO injection is a current standard of care for spinal muscular atrophy and is in five ongoing Phase I trials in ALS, Parkinson's, and Alzheimer's diseases and in Phase III trials for inherited ALS and Huntington's disease.

    “ASO injection is a current standard of care for the fatal childhood disease spinal muscular atrophy15 and is in five ongoing Phase I trials in ALS, Parkinson’s, and Alzheimer’s diseases and in Phase III trials for inherited ALS from a mutation in superoxide dismutase16,17 and for Huntington’s disease18.”
    Quote in the paperSubstantial claim4 of 4 sources checked
    • cites [15] Finkel, R. S. et al. Nusinersen versus sham control in infantile-onset spinal muscular atrophy. N. Engl. J. Med. 377, 1723–1732 (2017). source

      The Background identifies nusinersen as an antisense oligonucleotide, and Trial Design and Treatment describes its intrathecal injection in infants with spinal muscular atrophy. The Conclusions report improved survival and motor function, but the paper does not establish that ASO injection is a current standard of care. The claims about trials in other diseases are attached to other citations, not this one. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [16] Miller, T. M. et al. An antisense oligonucleotide against SOD1 delivered intrathecally for patients with SOD1 familial amyotrophic lateral sclerosis: a phase 1, randomised, first-in-man study. Lancet Neurol. 12, 435–442 (2013). source

      The citation is attached to the claim about Phase III trials for inherited SOD1 ALS. The cited paper instead describes its SOD1 ALS study as a randomised Phase I trial (Abstract, Methods), and the Introduction calls it a first-in-human study. It does not establish the claimed Phase III status. (LLM, conf=0.88)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
    • cites [17] Miller, T. et al. Phase 1–2 trial of antisense oligonucleotide tofersen for SOD1 ALS. N. Engl. J. Med. 383, 109–119 (2020). source
    • cites [18] Leavitt, B. R. & Tabrizi, S. J. Antisense oligonucleotides for neurodegeneration. Science 367, 1428–1429 (2020). source

      The Abstract reports an approved ASO therapy for spinal muscular atrophy and ongoing trials in ALS, Parkinson’s, and Alzheimer’s disease. The clinical-trials section identifies a phase 3 Huntington’s disease trial, but places the SOD1-mutant ALS trial in phase 1/2a, not phase 3; it also does not establish a total of five ongoing phase I trials. The copy provides no page numbers for these passages. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The dentate gyrus of the hippocampus is the brain region where the most active neurogenesis has been documented to take place.

    “The dentate gyrus of the hippocampus is the brain region where the most active neurogenesis has been documented to take place23–25.”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites [23] Altman, J. & Das, G. D. Autoradiographic and histological evidence of postnatal hippocampal neurogenesis in rats. J. Comp. Neurol. 124, 319–335 (1965). source
    • cites [24] Ming, Gli & Song, H. Adult neurogenesis in the mammalian brain: significant answers and significant questions. Neuron 70, 687–702 (2011). source

      The Introduction (page unavailable) identifies the dentate gyrus as one of two regions where adult neurogenesis is active under normal conditions. It also identifies the subventricular zone as active and does not say that neurogenesis is most active in the dentate gyrus. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [25] Zhao, C., Deng, W. & Gage, F. H. Mechanisms and functional implications of adult neurogenesis. Cell 132, 645–660 (2008). source

      The Main Text (indexed as Abstract; no page available) identifies the subgranular zone of the hippocampal dentate gyrus as a site where adult neurogenesis is clearly demonstrated. It also identifies the subventricular zone as such a site, but does not say that neurogenesis is most active in the dentate gyrus. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    ASO injection into CSF is a therapeutically viable approach that was initiated 14 years ago and validated to yield effective delivery to neurons and glial cells throughout the rodent and non-human primate nervous systems.

    “ASO injection into cerebral spinal fluid (CSF) is a therapeutically viable approach that was initiated 14 years ago13 and validated to yield effective delivery to neurons and glial cells throughout the rodent13 and non-human primate14 nervous systems.”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [13] Smith, R. A. et al. Antisense oligonucleotide therapy for neurodegenerative disease. J. Clin. Invest. 116, 2290–2296 (2006). source
    • cites [14] Kordasiewicz, H. B. et al. Sustained therapeutic reversal of Huntington’s disease by transient repression of huntingtin synthesis. Neuron 74, 1031–1044 (2012). source

      The Results section on non-human primates reports that ASOs infused into rhesus monkeys’ CSF reached neurons across many brain and spinal-cord regions and reduced huntingtin mRNA. It does not establish delivery to glial cells in the primates; the reported astrocyte uptake appears in the separate rodent results. The ‘14 years ago’ and rodent portions of the sentence are attached to citation 13, not this source’s citation 14. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Radial glial cells, stem cell precursors, and astrocytes all express GFAP and are found in the dentate gyrus.

    “Radial glial cells, stem cell precursors, and astrocytes - all reported to express GFAP (reviewed in ref.26) - are found in the dentate gyrus2,27,28.”
    Quote in the paperSubstantial claim2 of 4 sources checked
    • cites [26] Song, H., Berg, D. A., Bond, A. M. & Ming, Gli Radial glial cells in the adult dentate gyrus: what are they and where do they come from? F1000Res. 7, 277 (2018). source
    • cites [2] Bond, A. M., Ming, G. L. & Song, H. Adult mammalian neural stem cells and neurogenesis: five decades later. Cell Stem Cell 17, 385–395 (2015). source
    • cites [27] Song, H., Stevens, C. F. & Gage, F. H. Astroglia induce neurogenesis from adult neural stem cells. Nature 417, 39–44 (2002). source
    • cites [28] 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
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The known low rate of ongoing neurogenesis in the dentate gyrus of young adult mice.

    “consistent with the known low rate of ongoing neurogenesis in the dentate gyrus of young adult mice29.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [29] Morgenstern, N. A., Lombardi, G. & Schinder, A. F. Newborn granule cells in the ageing dentate gyrus. J. Physiol. 586, 3751–3757 (2008). source

      The section “Sharp decrease in adult neurogenesis in the ageing brain” reports newly generated dentate granule cells in 2-month-old mice, supporting ongoing neurogenesis in young adults. It reports a roughly 40-fold decline by 10 months, but does not characterize the rate in young adult mice as low. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    MAP2 is a marker for mature dendrites.

    “contained MAP2 (Supplementary video 4), a marker for mature dendrites38.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [38] Kosik, K. S. & Finch, E. A. MAP2 and tau segregate into dendritic and axonal domains after the elaboration of morphologically distinct neurites: an immunocytochemical study of cultured rat cerebrum. J. Neurosci. 7, 3142–3153 (1987). source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Doublecortin (DCX) is a protein expressed in developing immature neurons, but silenced as those neurons mature.

    “doublecortin (DCX), a protein expressed in developing immature neurons, but silenced as those neurons mature37”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [37] Van Praag, H. et al. Functional neurogenesis in the adult hippocampus. Nature 415, 1030–1034 (2002). source

      The Methods (page unavailable) list the neuronal markers examined but do not mention doublecortin or DCX. The paper discusses maturation of newly generated neurons and possible shutdown of GFP expression (Abstract, page unavailable), not whether DCX expression is silenced as neurons mature. Searches for “doublecortin DCX” and immature-neuron marker expression found no passage addressing the claim. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    It is well accepted that neurogenesis sharply decreases in the aged mammalian nervous system, with no new neurons detectable in mice by 10 months of age.

    “It is well accepted that neurogenesis sharply decreases in the aged mammalian nervous system29–31, with no new neurons detectable in mice by 10 months of age29,31.”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [29] Morgenstern, N. A., Lombardi, G. & Schinder, A. F. Newborn granule cells in the ageing dentate gyrus. J. Physiol. 586, 3751–3757 (2008). source

      The ‘Sharp decrease in adult neurogenesis in the ageing brain’ section reports an approximately 40-fold reduction between 2- and 10-month-old mice, supporting the decline. But it also says GFP-positive newborn neurons were observed at all time points, and the ‘Complex morphological traits’ section describes neurons born in 10-month-old mice. The claim that none were detectable by that age is therefore contradicted. (LLM, conf=0.90)

      Experimental — accuracy not yet measured
    • cites [30] Sorrells, S. F. et al. Human hippocampal neurogenesis drops sharply in children to undetectable levels in adults. Nature 555, 377–381 (2018). source

      The paper’s Abstract reports a sharp early decline in hippocampal neurogenesis in humans and a decline during juvenile development in macaques. It does not report that no new neurons are detectable in mice by 10 months of age; that species-specific claim is unsupported by this source. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [31] Heine, V. M., Maslam, S., Joëls, M. & Lucassen, P. J. Prominent decline of newborn cell proliferation, differentiation, and apoptosis in the aging dentate gyrus, in absence of an age-related hypothalamus-pituitary-adrenal axis activation. Neurobiol. Aging 25, 361–375 (2004). source
  • Classified as probably not a substantial claim.

    Premisecitation

    The process by which newly generated neurons in normal development are incorporated into the granular cell layer is well established and involves expression of specific markers and development of defined neuronal morphology.

    “The process by which newly generated neurons in normal development are incorporated into the granular cell layer is well established and involves expression of specific markers and development of defined neuronal morphology24,26,34,35.”
    Quote in the paperSubstantial claim4 of 4 sources checked
    • cites [24] Ming, Gli & Song, H. Adult neurogenesis in the mammalian brain: significant answers and significant questions. Neuron 70, 687–702 (2011). source

      The Development of Neural Stem Cells in the Adult Brain section (page unavailable) describes immature neurons migrating into the dentate granule cell layer, extending dendrites and axons, and following a stereotyped course of integration. It also mentions developmental marker expression, but primarily describes adult neurogenesis; it does not establish the claimed marker-defined process for normal development generally. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites [26] Song, H., Berg, D. A., Bond, A. M. & Ming, Gli Radial glial cells in the adult dentate gyrus: what are they and where do they come from? F1000Res. 7, 277 (2018). source

      The ‘Classic homogeneous radial glia-like cell population model’ section describes adult-born neuroblasts expressing DCX, developing a bipolar shape, migrating into the granule cell layer, and maturing into Prox1-positive neurons. The ‘Origin of adult neural stem cells’ section describes markers during embryonic development, but does not establish the same marker-and-morphology sequence for neurons incorporated during normal development. The claim blends the paper’s adult neurogenesis account with its developmental account. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites [34] Toni, N. et al. Neurons born in the adult dentate gyrus form functional synapses with target cells. Nat. Neurosci. 11, 901–907 (2008). source

      The Results describe morphological maturation of adult-born granule-cell axons and compare their mature boutons with those of neurons born during early postnatal development. But the paper does not establish a process of incorporation into the granule cell layer during normal development or describe the expression of specific developmental markers; GFP was introduced to label the cells. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [35] Zhao, C., Teng, E. M., Summers, R. G., Ming, G. L. & Gage, F. H. Distinct morphological stages of dentate granule neuron maturation in the adult mouse hippocampus. J. Neurosci. 26, 3–11 (2006). source

      The Results section (‘Elaborate dendritic arborization of newborn cells within 3 weeks’; page not supplied) places newborn neurons in the granule cell layer, identifies neuronal-marker expression (NeuN), and describes their developing morphology. The Discussion defines four morphological maturation stages. But the Introduction says the timing and duration of these features were not clear, so calling the process ‘well established’ overstates the paper; its principal focus is adult mouse neurogenesis, although it also compares postnatal neurons. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Human brain organoids are a scaled-down, three-dimensional model of the human brain, mimicking various developmental features, including generation of new neurons by their conversion from radial glia and incorporation into neuronal network.

    “Human brain organoids are emerging as a scaled-down, three-dimensional model of the human brain, mimicking various developmental features, including generation of new neurons by their conversion from radial glia20 and incorporation into neuronal network21.”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [20] Di Lullo, E. & Kriegstein, A. R. The use of brain organoids to investigate neural development and disease. Nat. Rev. Neurosci. 18, 573–584 (2017). source
    • cites [21] Trujillo, C. A. et al. Complex oscillatory waves emerging from cortical organoids model early human brain network development. Cell Stem Cell 25, 558–569 (2019). source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    An unresolved controversy is whether the apparent generation of new neurons from astrocytes in earlier reports may actually reflect endogenous neuronal precursors or mature neurons mistakenly labeled by various fluorescent marking schemes, as opposed to transdifferentiation from glia.

    “An unresolved controversy41 is whether the apparent generation of new neurons from astrocytes in earlier reports7 may actually reflect endogenous neuronal precursors or mature neurons mistakenly labeled by various fluorescent marking schemes, as opposed to transdifferentiation from glia.”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [41] Wang, L.-L., Garcia, C. S., Zhong, X., Ma, S. & Zhang, C.-L. Rapid and efficient in vivo astrocyte-to-neuron conversion with regional identity and connectivity? Preprint at bioRxiv https://doi.org/10.1101/2020.08.16.253195 (2020). source

      The Introduction and Discussion (pages unavailable) report that endogenous neurons can be mislabeled as astrocyte-converted neurons by less stringent reporter methods, supporting the mature-neuron alternative. Our copy does not establish that the apparent new neurons instead came from endogenous neuronal precursors. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [7] Barker, R. A., Götz, M. & Parmar, M. New approaches for brain repair—from rescue to reprogramming. Nature 557, 329–334 (2018). source

      The discussion accompanying Figure 3 (pp. 8–9) describes endogenous neurogenesis and reports glia-to-neuron conversion, but does not discuss a controversy over the origin of the reported neurons. Searches for fluorescent mislabeling and for neuronal precursors being mistaken for glial-derived neurons found no passage addressing that concern. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Findingown data

    PTB-ASO enhanced production of tdTomato expressing neurons 37.5 times in the dentate gyrus and 10 times in the cortex or CA1 of reporter mice.

    “First, production of tdTomato expressing neurons was enhanced 37.5 times in the dentate gyrus (and 10 times in the cortex or CA1) of reporter mice in which PTB expression was reduced with a PTB targeting ASO.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Within 3 days of ASO addition, conversion into neurons was initiated, with reduced PTB expression accompanied by a sharp reduction in GFAP-encoding mRNA and induction of the neuronal-specific NeuN mRNA.

    “Within 3 days, conversion into neurons was initiated, with reduced PTB expression accompanied by a sharp reduction in GFAP-encoding mRNA (an astrocytic marker) and induction of the neuronal-specific NeuN mRNA (Figure 1c).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    By 2 months post-ICV injection, the vast majority (92.7%) of tdTomato+ cells with neuronal morphology no longer expressed DCX, 97% of which had converted to expression of the mature neuronal marker NeuN.

    “By 2 months post-ICV injection, the vast majority (92.7%) of tdTomato+ cells with neuronal morphology no longer expressed DCX, 97% of which had converted to expression of the mature neuronal marker NeuN (Figure 4d, Extended Data Figure 10).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    After an additional six weeks the tdTomato+ neurons had developed long dendritic processes which extended into the Perforant pathway and contained MAP2.

    “In comparison to the short dendritic branching in immature neurons present 2 weeks post-ICV of PTB-ASO (Figure 4a,d), after an additional six weeks the tdTomato+ neurons had developed long dendritic processes which extended into the Perforant pathway (Figure 4f,g) and contained MAP2 (Supplementary video 4), a marker for mature dendrites38.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PTB-ASOs penetrated the organoids and reduced PTB mRNA levels.

    “PTB-ASOs penetrated the organoids (Figure 1e) and reduced PTB mRNA levels (Figure 1f).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Two weeks following ICV injection with PTB-ASO in 1.2 year old mice, many DCX positive cells were present, while there was a complete absence of DCX positive cells present in any of the age matched, control ASO injected mice.

    “Consistent with this interpretation, two weeks following ICV injection with PTB-ASO in 1.2 year old mice, many DCX positive cells were present, while there was a complete absence of DCX positive cells present in any of the age matched, control ASO injected mice (Figure 4e, Extended Data Figure 8).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Unbiased counting of total tdTomato+ expressing cells throughout the dentate gyrus revealed a 37.5-fold increase (compared with saline or control ASO injected mice) in newly generated neurons identified as tdTomato+, NeuN+ cells, with 15% (± 5%, n=3) of total tdTomato+ cells also NeuN+.

    “Unbiased counting of total tdTomato+ expressing cells throughout the dentate gyrus revealed a 37.5-fold increase (compared with saline or control ASO injected mice) in newly generated neurons identified as tdTomato+, NeuN+ cells, with 15% (± 5%, n=3) of total tdTomato+ cells also NeuN+ (Figure 2d,e,f, Supplementary Video 3).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Ki67 was elevated in the dentate gyri of both 5 month or 1.2 year old PTB-ASO injected mice and in PTB-treated human brain organoids.

    “Instead, Ki67, a marker for cell proliferation33, was elevated in the dentate gyri of both 5 month or 1.2 year old PTB-ASO injected mice (Extended Data Figure 7a-c) and in PTB-treated human brain organoids (Extended Data Figure 7d), consistent with proliferation of precursor cells stimulated to divide by homeostatic mechanisms that maintain the levels of glia, including astrocytes32.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    With PTB ASO injection, limited new neuron formation was observed in the cortex of aged mice, at a rate similar to what was seen in younger mice.

    “With PTB ASO injection, limited new neuron formation was observed in the cortex of these aged mice (Extended Data Figure 6), at a rate similar to what was seen in younger mice.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Conversion to neurons did not affect the pool of GFAP-expressing cells, as no difference was observed in the total number of GFAP or nestin expressing cells in the human organoid model or in GFAP-positive cells in the dentate gyri of PTB-ASO treated animals.

    “Conversion to neurons did not, however, affect the pool of GFAP-expressing cells, as no difference was observed in the total number of GFAP or nestin expressing cells in the human organoid model (Figure 3c) or in GFAP-positive cells in the dentate gyri of PTB-ASO treated animals (Figure 3c,d,e).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Widespread Malat1-ASO presence was observed within the organoids, accompanied by 85% reduction of Malat1 mRNA levels at both 2- and 4-weeks post-treatment.

    “Widespread Malat1-ASO presence was observed within the organoids, accompanied by 85% reduction of Malat1 mRNA levels at both 2- and 4-weeks post-treatment (Extended Data Figure 2).”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The use of ASOs to modulate gene expression in human organoids has not previously been reported.
  • May combine two claims.

    Findingown data

    They were located exclusively in the basal layer of the dentate gyrus and exhibited shorter and less complex dendritic branches than those of tdTomato expressing neurons at 2 months post ASO injection.

    “They were located exclusively in the basal layer of the dentate gyrus and exhibited shorter and less complex dendritic branches (Figure 4a,c) than those of tdTomato expressing neurons at 2 months post ASO injection (Figure 4a,d), the latter of which had acquired dendritic morphologies similar to those of mature, endogenous neurons34–36.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ~30% of the tdTomato+ cells exhibited morphologic characteristics expected of radial glial cells but had hybrid neuronal/glial character, with a DCX+ cell body sharing dendrites with GFAP filaments.

    “However, ~30% of the tdTomato+ cells exhibited morphologic characteristics expected of radial glial cells (Figure 5a,c) [including triangular shaped cell bodies located near the sub granular zone and bushy radial dendrites extending through the granular cell layer26] but had hybrid neuronal/glial character, with a DCX+ cell body sharing dendrites with GFAP filaments, as would be expected for cells”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Reduction of PTB mRNA was observed 72 hours post ICV injection, followed by induction of neuronal PTB (nPTB) 15 days post injection.

    “Reduction of PTB mRNA was observed 72 hours post ICV injection, followed by induction of neuronal PTB (nPTB) 15 days post injection (Extended Data Figure 1b,c).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Neither the number of pluripotent cells (SOX2+) nor those with caspase 3 activation was changed by PTB-ASO treatment.

    “Neither the number (Extended Data Figure 3c,d) of pluripotent cells (SOX2+) nor those with caspase 3 activation (Extended Data Figure 3e) was changed by PTB-ASO treatment.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Newly generated neurons in granular cell layer, CA1, and cortex 2 months post-PTB-ASO ICV have region-specific morphologies.

    “Morphology of newly generated neurons in different brain regions, 2 months post-PTB-ASO ICV administration. Representative immunofluorescence images of (left) granular cell layer, (middle) CA1, and (right) cortex, 2 months post-ICV injection of PTB-ASO2 into mice carrying both a CAG-lox-stop-lox-tdTomato gene and a tamoxifen-inducible GFAP-CreERT2 transgene.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    PTB mRNA in hippocampus was reduced at 3 days but returned to control levels by 15 days after PTB-ASO injection.

    “(control mean: 1 +/− 0.04; 3 days post PTB-ASOs mean: 0.61 +/− 0.08; 15 days post PTB-ASOs mean: 1.18 +/− 0.24; n=3 biological repeats.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    PTB-ASO ICV delivery increased DCX expression in dentate gyrus of 1.5-year-old mice 2 weeks post injection.

    “DCX expression levels 2 weeks post-PTB-ASO ICV delivery into 1.5 years old mice. Four representative images and insets of 1.5 years old mice dentate gyrus at 2 weeks post ICV delivery of (upper) control or (lower) PTB-ASO. (Green) DCX (visualized by indirect immunofluorescence); (blue) DAPI stain for DNA; experiment was reproduced three times, independently, with similar results.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    nPTB mRNA in hippocampus was reduced at 3 days and increased at 15 days after PTB-ASO injection.

    “(control mean: 1 +/− 0.03; 3 days post PTB-ASOs mean: 0.63 +/− 0.04; 15 days post PTB-ASOs mean: 1.75 +/− 0.33; n=3 biological repeats).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In control-ASO injected mice, no tdTomato+ NeuN+ neurons were detected in the dentate gyrus of 1.2-year-old mice, whereas some were detected at 5 months.

    “Quantification of the tdTomato+ & NeuN+ neurons (iNeurons) in the granular cell layer 2 months post ICV injection of control-ASO at 5 months or 1.2 years old mice. Data are presented as fold change mean +/− SEM. (control 5 months mean: 1 +/− 0.35; Control 1.2 years old mean: 0 +/− 0; n=8, n=5 brain slides per each condition, n=3, n=1, respectively).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PTB-ASO injection increased tdTomato+ NeuN+ cells in dentate gyrus of 5-month-old mice at 2 weeks and more at 2 months.

    “Quantitation of total tdTomato+, NeuN+ positive cells per dentate gyrus area of 5 months old mice 2 weeks or 2 months post PTB-ASO or control ICV injection into mice Data are presented as mean +/− SEM (control: 1.33 +/− 0.66; 2 weeks PTB-ASO mean: 3.16 +/− 1.59; 2 months PTB-ASO mean: 28.88 +/− 4.87; n=3, n=3, n=4, respectively; **, One way ANOVA with Tukey’s multiple comparisons, **p=0.0013).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The new neurons functionally integrate into endogenous circuits and modify mouse behavior.

    “The new neurons functionally integrate into endogenous circuits and modify mouse behavior.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Unbiased counting was used to quantify tdTomato+ expressing cells.

    “Unbiased counting of total tdTomato+ expressing cells throughout the dentate gyrus revealed a 37.5-fold increase (compared with saline or control ASO injected mice) in newly generated neurons identified as tdTomato+, NeuN+ cells, with 15% (± 5%, n=3) of total tdTomato+ cells also NeuN+ (Figure 2d,e,f, Supplementary Video 3).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Behavioral assays were performed with observers blinded to the treatment ASO.

    “Using observers blinded to the treatment ASO, no differences between PTB and control ASO treated groups were seen in stress related behaviors46 in open field assays that included distance traveled, velocity of movement, and time spent in the open (Figure 7a,b,c).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Mature astrocytes are well established to accumulate starburst bundles of GFAP filaments that fill the central cell bodies.

    “As mature astrocytes are well established42 to accumulate starburst bundles of GFAP filaments that fill the central cell bodies (e.g., see Figure 3a)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [42] Eliasson, C. et al. Intermediate filament protein partnership in astrocytes. J. Biol. Chem. 274, 23996–24006 (1999). source
  • May combine two claims.

    Interpretationown data

    Within two months post-ICV injection of PTB-ASO into CSF newly generated neurons are sufficiently integrated into endogenous circuits to be capable of receiving both glutamate and GABA inputs and firing action potentials that are indistinguishable from the neighboring endogenous granular cell layer neurons.

    “These results indicate that within two months post-ICV injection of PTB-ASO into CSF newly generated neurons are sufficiently integrated into endogenous circuits to be capable of receiving both glutamate and GABA inputs and firing action potentials that are indistinguishable from the neighboring endogenous granular cell layer neurons.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Novel object recognition test monitors hippocampal function.

    “Using a novel object recognition test45 to monitor hippocampal function”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [45] Heyser, C. J. & Chemero, A. Novel object exploration in mice: not all objects are created equal. Behav. Process. 89, 232–238 (2012). source
  • May combine two claims.

    Interpretationown data

    The memory improvement is consistent with production of new functional neurons and inconsistent with existing neurons artifactually labeled with tdTomato.

    “an outcome consistent with production of new functional neurons, but inconsistent with existing neurons artifactually labeled with tdTomato.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Over a two month period the new neurons acquire mature neuronal character and functionally integrate into endogenous circuits, with dendrites extending into the Perforant path and receiving inhibitory (GABA) and excitatory (glutamate) inputs, and axons extending into CA3 and sending action potentials which modify hippocampal-dependent mouse behavior.

    “Over a two month period the new neurons acquire mature neuronal character and functionally integrate into endogenous circuits, with dendrites extending into the Perforant path and receiving inhibitory (GABA) and excitatory (glutamate) inputs, and axons extending into CA3 and sending action potentials which modify hippocampal-dependent mouse behavior.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Ki67 is a marker for cell proliferation.

    “Ki67, a marker for cell proliferation33”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [33] Gerdes, J. et al. Cell cycle analysis of a cell proliferation-associated human nuclear antigen defined by the monoclonal antibody Ki-67. J. Immunol. 133, 1710–1715 (1984). source
  • May combine two claims.

    Interpretationown data

    A single ICV injection of an ASO to suppress PTB induces new neurons in the dentate gyrus of the adult mouse brain with no depletion in total GFAP-expressing cell number.

    “Thus, a single ICV injection of an ASO to suppress PTB induces new neurons in the dentate gyrus of the adult mouse brain with no depletion in total GFAP-expressing cell number.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    New neurons generated by a transiently lowered PTB level appear to derive from conversion of a glial progenitor, including at least two different progenitors (radial glia for granular neurons and human neurons in organoids; astrocytes for cortical and pyramidal neurons).

    “In each example we document, the new neurons generated by a transiently lowered PTB level appear to derive from conversion of a glial progenitor, including at least two different progenitors (radial glia for granular neurons and human neurons in organoids; astrocytes for cortical and pyramidal neurons).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Human organoids are a well-established in vitro model of neurodevelopment.
  • May combine two claims.

    Interpretationown data

    Neuronal identity is likely determined or affected by local cues produced within each specific brain region, and potentially by intrinsic gene expression within the glial cells that convert to neurons within each brain subarea.

    “It seems highly likely that neuronal identity is determined (or at least affected) by local cues produced within each specific brain region, and potentially by intrinsic gene expression within the glial cells that convert to neurons within each brain subarea.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Assays thought to rely on hippocampal related behaviors.

    “Assays thought to rely on hippocampal related behaviors43–45 were performed two months post ASO delivery to test the functionality of PTB ASO generated new neurons in the dentate gyri of 1.5 year old control or PTB ASO ICV injected mice.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [43] Van Praag, H., Kempermann, G. & Gage, F. H. Running increases cell proliferation and neurogenesis in the adult mouse dentate gyrus. Nat. Neurosci. 2, 266–270 (1999). source
    • cites [44] Barnes, C. A. Memory deficits associated with senescence: a neurophysiological and behavioral study in the rat. J. Comp. Physiol. Psychol. 93, 74–104 (1979). source
    • cites [45] Heyser, C. J. & Chemero, A. Novel object exploration in mice: not all objects are created equal. Behav. Process. 89, 232–238 (2012). source
  • May combine two claims.

    Interpretationown data

    Generating new neurons in the aging brain (especially within the dentate gyrus) can be achieved with a therapeutically feasible approach of ASO-mediated transient reduction in PTB, and a therapeutically feasible pharmacological intervention with ASOs to transiently suppress PTB can facilitate generation of replacement neurons within the aged mammalian nervous system.

    “Our findings demonstrate that generating new neurons in the aging brain (especially within the dentate gyrus) can be achieved with a therapeutically feasible approach of ASO-mediated transient reduction in PTB.”
    • Also stated in: § Discussion · boosted
      “Nevertheless, our findings strongly support that a therapeutically feasible pharmacological intervention with ASOs to transiently suppress PTB can facilitate generation of replacement neurons within the aged mammalian nervous system.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Production of new neurons can replace those lost in neurodegenerative diseases of aging and thereby provide therapy.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The ASOs used for this study are not clinical candidates.

    “The ASOs we used for this study are not clinical candidates.”
    Quote in the paperNot a substantial claim
47 of 47
  • The paper relies on this without support.

    The use of ASOs to modulate gene expression in human organoids has not previously been reported.

    “Recognizing that the use of ASOs to modulate gene expression in human organoids has not previously been reported, we initially added a fluorescently tagged ASO targeting the long non-coding RNA Malat1 to brain organoid culture media and monitored its free uptake and efficacy over time.”
  • The paper relies on this without support.

    Human organoids are a well-established in vitro model of neurodevelopment.

    “PTB suppression in the human organoid model, a well-established in vitro model of neurodevelopment, induced 50–100% increase in new neurons.”
  • The paper relies on this without support.

    Production of new neurons can replace those lost in neurodegenerative diseases of aging and thereby provide therapy.

    “This discovery may represent a foundational first step for therapy development through production of neurons to replace those lost in neurodegenerative diseases of aging.”
3 of 3

Self-check

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.

  • Aged-mouse DCX experiment has conflicting ages

    Minor

    The results describe the two-week DCX observation in 1.2-year-old mice and cite Extended Data Figure 8, but that figure identifies its two-week experiment as using 1.5-year-old mice.

  • Extended Data Figure 1 gives conflicting ASO doses

    Minor

    Panel (a) specifies a 500 μg injection, while panels (b) and (c) specify 500 mg for the same type of injection into 3-month-old mice-a thousand-fold difference.

2 of 2

Cites

Flagged first, then by citations

1 of the 71 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Gerdes, J. et al. Cell cycle analysis of a cell proliferation-associated human nuclear antigen defined by the monoclonal antibody Ki-67. J. Immunol. 133, 1710–1715 (1984). · DOI · Paper page

Cited by

Sorted by citations

Authors
Maimon, R., Chillon-Marinas, C., Snethlage, C. E., Singhal, S. M., McAlonis-Downes, M., Ling, K., Rigo, F., Bennett, C. F., Da Cruz, S., Hnasko, T. S., Muotri, A. R., & Cleveland, D. W.
Affiliations
  • University of California San Diego (US)
  • Ionis Pharmaceuticals (United States) (US)
Corresponding author
Cleveland, Don W.
Venue
Nature Neuroscience
Published
2021-06-03
Volume
24
Issue
8
Pages
1089-1099
ISSN
  • 1097-6256 (ISSN-L)
  • 1546-1726
OpenAlex
W3164571028
Cited by
62
References
71
Citations by year
2026: 7 · 2025: 10 · 2024: 12 · 2023: 17 · 2022: 12 · 2021: 4
FWCI
3.59
Type
journal article
Language
en
Open access
Locations
  • Nature Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (acceptedVersion)
  • PubMed Central (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • U.S. Department of Veterans Affairs (I01 BX003759)
  • National Institute of Mental Health (R01MH108528, R01MH109885, R01MH100175)
  • National Institute of Neurological Disorders and Stroke (R01 NS105969, R01 NS027036, P30NS047101, R37NS027036)
Topics
  • Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
Keywords
adult neurogenesis, antisense oligonucleotides, PTBP1, dentate gyrus, hippocampus, neuronal maturation, memory enhancement, neurodegenerative disease treatment, brain aging
MeSH terms
Animals, Neurons, Oligonucleotides, Antisense, Dentate Gyrus, Polypyrimidine Tract-Binding Protein, Mice, Neurogenesis, Ependymoglial Cells, Cellular Reprogramming

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.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-23.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-23.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

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