Cited by 15Down syndrome and intellectual disability researchPluripotent Stem Cells ResearchDevelopmental Biology and Gene Regulation

Transcriptional consequences of trisomy 21 on neural induction

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Martinez, José L., Piciw, Jennifer G., Crockett, Madeline, Sorci, Isabella A., Makwana, Nikunj, Sirois, Carissa L., Giffin-Rao, Yathindar, Bhattacharyya, Anita·2024·Frontiers in Cellular Neuroscience

Abstract

Introduction: Down syndrome, caused by trisomy 21, is a complex developmental disorder associated with intellectual disability and reduced growth of multiple organs. Structural pathologies are present at birth, reflecting embryonic origins. A fundamental unanswered question is how an extra copy of human chromosome 21 contributes to organ-specific pathologies that characterize individuals with Down syndrome, and, relevant to the hallmark intellectual disability in Down syndrome, how trisomy 21 affects neural development. We tested the hypothesis that trisomy 21 exerts effects on human neural development as early as neural induction. Methods: Bulk RNA sequencing was performed on isogenic trisomy 21 and euploid human induced pluripotent stem cells (iPSCs) at successive stages of neural induction: embryoid bodies at Day 6, early neuroectoderm at Day 10, and differentiated neuroectoderm at Day 17. Results: Gene expression analysis revealed over 1,300 differentially expressed genes in trisomy 21 cells along the differentiation pathway compared to euploid controls. Less than 5% of the gene expression changes included upregulated chromosome 21 encoded genes at every timepoint. Genes involved in specific growth factor signaling pathways (WNT and Notch), metabolism (including oxidative stress), and extracellular matrix were altered in trisomy 21 cells. Further analysis uncovered heterochronic expression of genes. Conclusion: Trisomy 21 impacts discrete developmental pathways at the earliest stages of neural development. The results suggest that metabolic dysfunction arises early in embryogenesis in trisomy 21 and may affect development and function more broadly.

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References 83 · Cited by 15

Research works printed but not linked: 68

  1. Antonarakis S. E. (2001). Chromosome 21: From sequence to applications. Curr.Opin. Genet. Dev. 11 241– 246. 11377958
  2. Baburamani A. A. Vontell R. T. Uus A. Pietsch M. Patkee P. A. Wyatt-Ashmead J. (2020). Assessment of radial glia in the frontal lobe of fetuses with Down syndrome. Acta Neuropathol. Commun. 8 141– 141. 10.1186/s40478-020-01015-3 32819430 PMC7441567 · DOI · Paper page
  3. Bengoa-Vergniory N. Kypta R. M. (2015). Canonical and noncanonical Wnt signaling in neural stem/progenitor cells. Cell Mol. Life Sci. 72 4157– 4172. 26306936 PMC11113751
  4. Berto G. Camera P. Fusco C. Imarisio S. Ambrogio C. Chiarle R. (2007). The Down syndrome critical region protein TTC3 inhibits neuronal differentiation via RhoA and Citron kinase. J. Cell Sci. 120 1859– 1867. 17488780
  5. Berto G. E. Iobbi C. Camera P. Scarpa E. Iampietro C. Bianchi F. (2014). The DCR protein TTC3 affects differentiation and Golgi compactness in neurons through specific actin-regulating pathways. PLoS One 9: e93721. 10.1371/journal.pone.0093721 24695496 PMC3973554 · DOI
  6. Čajánek L. Ganji R. S. Henriques-Oliveira C. Theofilopoulos S. Koník P. Bryja V. (2013). Tiam1 regulates the Wnt/Dvl/Rac1 signaling pathway and the differentiation of midbrain dopaminergic neurons. Mol. Cell Biol. 33 59– 70. 10.1128/MCB.00745-12 23109420 PMC3536309 · DOI
  7. Casanova E. L. Casanova M. F. (2014). Genetics studies indicate that neural induction and early neuronal maturation are disturbed in autism. Front. Cell Neurosci. 8: 397. 10.3389/fncel.2014.00397 25477785 PMC4237056 · DOI
  8. Chambers S. M. Fasano C. A. Papapetrou E. P. Tomishima M. Sadelain M. Studer L. (2009). Highly efficient neural conversion of human ES and iPS cells by dual inhibition of SMAD signaling. Nat. Biotechnol. 27 275– 280. 10.1038/nbt.1529 19252484 PMC2756723 · DOI · Paper page
  9. Chen E. Y. Tan C. M. Kou Y. Duan Q. Wang Z. Meirelles G. V. (2013). Enrichr: Interactive and collaborative HTML5 gene list enrichment analysis tool. BMC Bioinformatics 14: 128. 10.1186/1471-2105-14-128 23586463 PMC3637064 · DOI · Paper page
  10. Clevers H. (2006). Wnt/beta-catenin signaling in development and disease. Cell 127 469– 480. 17081971
  11. Coskun P. E. Busciglio J. (2012). Oxidative stress and mitochondrial dysfunction in down’s syndrome: Relevance to aging and dementia. Curr. Gerontol. Geriatr. Res. 2012: 383170. PMC3350950 22611387
  12. Davidson K. C. Jamshidi P. Daly R. Hearn M. T. Pera M. F. Dottori M. (2007). Wnt3a regulates survival, expansion, and maintenance of neural progenitors derived from human embryonic stem cells. Mol. Cell Neurosci. 36 408– 415. 10.1016/j.mcn.2007.07.013 17822920 · DOI
  13. Dobin A. Davis C. A. Schlesinger F. Drenkow J. Zaleski C. Jha S. (2013). STAR: Ultrafast universal RNA-seq aligner. Bioinformatics 29 15– 21. 10.1093/bioinformatics/bts635 23104886 PMC3530905 · DOI · Paper page
  14. Dravid G. Ye Z. Hammond H. Chen G. Pyle A. Donovan P. (2005). Defining the role of Wnt/beta-catenin signaling in the survival, proliferation, and self-renewal of human embryonic stem cells. Stem Cells 23 1489– 1501. 10.1634/stemcells.2005-0034 16002782 · DOI
  15. Endo R. Chen Y. K. Burke J. Takashima N. Suryawanshi N. Hui K. K. (2023). Dysregulation of ribosome-associated quality control elicits cognitive disorders via overaccumulation of TTC3. Proc. Natl. Acad. Sci. U. S. A. 120: e2211522120. 10.1073/pnas.2211522120 36917672 PMC10041068 · DOI
  16. Gardiner K. Davisson M. (2000). The sequence of human chromosome 21 and implications for research into Down syndrome. Genome Biol. 1: REVIEWS0002. PMC138845 11178230
  17. Golden J. A. Hyman B. T. (1994). Development of the superior temporal neocortex is anomalous in trisomy 21. J. Neuropathol. Exp. Neurol. 53 513– 520. 10.1097/00005072-199409000-00011 8083693 · DOI · Paper page
  18. Granno S. Nixon-Abell J. Berwick D. C. Tosh J. Heaton G. Almudimeegh S. (2019). Downregulated Wnt/β-catenin signalling in the Down syndrome hippocampus. Sci. Rep. 9: 7322. PMC6513850 31086297
  19. Guidi S. Bonasoni P. Ceccarelli C. Santini D. Gualtieri F. Ciani E. (2008). Neurogenesis impairment and increased cell death reduce total neuron number in the hippocampal region of fetuses with Down syndrome. Brain Pathol. 18 180– 197. 10.1111/j.1750-3639.2007.00113.x 18093248 PMC8095525 · DOI · Paper page
  20. Guidi S. Ciani E. Bonasoni P. Santini D. Bartesaghi R. (2011). Widespread proliferation impairment and hypocellularity in the cerebellum of fetuses with down syndrome. Brain Pathol. 21 361– 373. 10.1111/j.1750-3639.2010.00459.x 21040072 PMC8094247 · DOI · Paper page
  21. Guidi S. Giacomini A. Stagni F. Emili M. Uguagliati B. Bonasoni M. P. (2018). Abnormal development of the inferior temporal region in fetuses with down syndrome. Brain Pathol. 28 986– 998. 10.1111/bpa.12605 29509279 PMC8028380 · DOI · Paper page
  22. Guihard-Costa A. M. Khung S. Delbecque K. Ménez F. Delezoide A. L. (2006). Biometry of face and brain in fetuses with trisomy 21. Pediatr. Res. 59 33– 38. 16326987
  23. Heeg-Truesdell E. LaBonne C. (2006). Neural induction in Xenopus requires inhibition of Wnt-beta-catenin signaling. Dev. Biol. 298 71– 86. 16879817
  24. Hemmings B. A. Restuccia D. F. (2012). PI3K-PKB/Akt pathway. Cold Spring Harb. Perspect. Biol. 4: a011189. PMC3428770 22952397
  25. Huang C. T. Tao Y. Lu J. Jones J. R. Fowler L. Weick J. P. (2016). Time-course gene expression profiling reveals a novel role of non-canonical WNT signaling during neural induction. Sci. Rep. 6: 32600. 10.1038/srep32600 27600186 PMC5013468 · DOI
  26. Iwata R. Vanderhaeghen P. (2021). Regulatory roles of mitochondria and metabolism in neurogenesis. Curr. Opin. Neurobiol. 69 231– 240. 34171617 PMC8415079
  27. Jovanovic S. V. Clements D. Macleod K. (1998). Biomarkers of oxidative stress are significantly elevated in Down syndrome. Free Radic. Biol. Med. 25 1044– 1048. 9870557
  28. Kamiya D. Banno S. Sasai N. Ohgushi M. Inomata H. Watanabe K. (2011). Intrinsic transition of embryonic stem-cell differentiation into neural progenitors. Nature 470 503– 509. 21326203
  29. Kitazono I. Hamada T. Yoshimura T. Kirishima M. Yokoyama S. Akahane T. (2020). PCP4/PEP19 downregulates neurite outgrowth via transcriptional regulation of Ascl1 and NeuroD1 expression in human neuroblastoma M17 cells. Lab. Invest. 100 1551– 1563. 10.1038/s41374-020-0462-z 32641824 · DOI
  30. Kuleshov M. V. Jones M. R. Rouillard A. D. Fernandez N. F. Duan Q. Wang Z. (2016). Enrichr: A comprehensive gene set enrichment analysis web server 2016 update. Nucleic Acids Res. 44 W90– W97. 10.1093/nar/gkw377 27141961 PMC4987924 · DOI · Paper page
  31. Lanzillotta C. Di Domenico F. (2021). Stress responses in down syndrome neurodegeneration: State of the art and therapeutic molecules. Biomolecules 11: 266. 10.3390/biom11020266 33670211 PMC7916967 · DOI
  32. Lavaute T. M. Yoo Y. D. Pankratz M. T. Weick J. P. Gerstner J. R. Zhang S. C. (2009). Regulation of neural specification from human embryonic stem cells by BMP and FGF. Stem Cells 27 1741– 1749. 19544434 PMC2789116
  33. Lee C. T. Bendriem R. M. Kindberg A. A. Worden L. T. Williams M. P. Drgon T. (2015). Functional consequences of 17q21.31/WNT3-WNT9B amplification in hPSCs with respect to neural differentiation. Cell Rep. 10 616– 632. 10.1016/j.celrep.2014.12.050 25640183 PMC4383664 · DOI
  34. Leung A. W. Murdoch B. Salem A. F. Prasad M. S. Gomez G. A. García-Castro M. I. (2016). WNT/β-catenin signaling mediates human neural crest induction via a pre-neural border intermediate. Development 143 398– 410. 26839343 PMC4760313
  35. Li Z. Klein J. A. Rampam S. Kurzion R. Campbell N. B. Patel Y. (2022). Asynchronous excitatory neuron development in an isogenic cortical spheroid model of Down syndrome. Front. Neurosci. 16: 932384. 10.3389/fnins.2022.932384 36161168 PMC9504873 · DOI · Paper page
  36. Liu J. Xiao Q. Xiao J. Niu C. Li Y. Zhang X. (2022). Wnt/β-catenin signalling: Function, biological mechanisms, and therapeutic opportunities. Signal. Transduct Target Ther. 7: 3. PMC8724284 34980884
  37. Long K. R. Huttner W. B. (2019). How the extracellular matrix shapes neural development. Open Biol. 9: 180216. PMC6367132 30958121
  38. Long K. R. Huttner W. B. (2021). The role of the extracellular matrix in neural progenitor cell proliferation and cortical folding during human neocortex development. Front. Cell Neurosci. 15: 804649. 10.3389/fncel.2021.804649 35140590 PMC8818730 · DOI
  39. Love M. I. Huber W. Anders S. (2014). Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2. Genome Biol. 15: 550. 10.1186/s13059-014-0550-8 25516281 PMC4302049 · DOI · Paper page
  40. Lu J. Lian G. Zhou H. Esposito G. Steardo L. Delli-Bovi L. C. (2012). OLIG2 over-expression impairs proliferation of human Down syndrome neural progenitors. Hum. Mol. Genet. 21 2330– 2340. 10.1093/hmg/dds052 22343408 PMC3335315 · DOI · Paper page
  41. Mollo N. Aurilia M. Scognamiglio R. Zerillo L. Cicatiello R. Bonfiglio F. (2022). Overexpression of the Hsa21 transcription factor RUNX1 modulates the extracellular matrix in trisomy 21 cells. Front. Genet. 13: 824922. 10.3389/fgene.2022.824922 35356434 PMC8960062 · DOI
  42. Mouton-Liger F. Sahún I. Collin T. Lopes P. Masini D. Thomas S. (2014). Developmental molecular and functional cerebellar alterations induced by PCP4/PEP19 overexpression: Implications for Down syndrome. Neurobiol. Dis. 63 92– 106. 10.1016/j.nbd.2013.11.016 24291518 · DOI
  43. Mouton-Liger F. Thomas S. Rattenbach R. Magnol L. Larigaldie V. Ledru A. (2011). PCP4 (PEP19) overexpression induces premature neuronal differentiation associated with Ca(2+) /calmodulin-dependent kinase II-δ activation in mouse models of Down syndrome. J. Comp. Neurol. 519 2779– 2802. 10.1002/cne.22651 21491429 · DOI
  44. Muchová J. Žitňanová I. Ďuračková Z. (2014). Oxidative stress and Down syndrome. Do antioxidants play a role in therapy? Physiol. Res. 63 535– 542. 24908086
  45. Mulligan K. A. Cheyette B. N. (2012). Wnt signaling in vertebrate neural development and function. J. Neuroimmune Pharmacol. 7 774– 787. 23015196 PMC3518582
  46. Murray A. Letourneau A. Canzonetta C. Stathaki E. Gimelli S. Sloan-Bena F. (2015). Brief report: Isogenic induced pluripotent stem cell lines from an adult with mosaic down syndrome model accelerated neuronal ageing and neurodegeneration. Stem Cells 33 2077– 2084. 10.1002/stem.1968 25694335 PMC4737213 · DOI · Paper page
  47. Oldak B. Wildschutz E. Bondarenko V. Comar M.-Y. Zhao C. Aguilera-Castrejon A. (2023). Complete human day 14 post-implantation embryo models from naive ES cells. Nature 622 562– 573. 10.1038/s41586-023-06604-5 37673118 PMC10584686 · DOI
  48. Pankratz M. T. Li X. J. Lavaute T. M. Lyons E. A. Chen X. Zhang S. C. (2007). Directed neural differentiation of hESCs via an obligated primitive anterior stage. Stem Cells 25 1511– 1520. 10.1634/stemcells.2006-0707 17332508 PMC2743478 · DOI
  49. Patapoutian A. Reichardt L. F. (2000). Roles of Wnt proteins in neural development and maintenance. Curr. Opin. Neurobiol. 10 392– 399. 10851180 PMC4943213
  50. Patkee P. A. Baburamani A. A. Kyriakopoulou V. Davidson A. Avini E. Dimitrova R. (2020). Early alterations in cortical and cerebellar regional brain growth in Down Syndrome: An in vivo fetal and neonatal MRI assessment. Neuroimage Clin. 25: 102139. 10.1016/j.nicl.2019.102139 31887718 PMC6938981 · DOI
  51. Pedroza M. Gassaloglu S. I. Dias N. Zhong L. Hou T.-C. J. Kretzmer H. (2023). Self-patterning of human stem cells into post-implantation lineages. Nature 622 574– 583. 10.1038/s41586-023-06354-4 37369348 PMC10584676 · DOI
  52. Prutton K. M. Marentette J. O. Maclean K. N. Roede J. R. (2023). Characterization of mitochondrial and metabolic alterations induced by trisomy 21 during neural differentiation. Free Radic. Biol. Med. 196 11– 21. 10.1016/j.freeradbiomed.2023.01.009 36638900 PMC9898228 · DOI
  53. Sánchez-Alegría K. Flores-León M. Avila-Muñoz E. Rodríguez-Corona N. Arias C. (2018). PI3K signaling in neurons: A central node for the control of multiple functions. Int. J. Mol. Sci. 19: 3725. 10.3390/ijms19123725 30477115 PMC6321294 · DOI
  54. Schmidt-Sidor B. Wisniewski K. E. Shepard T. H. Sersen E. A. (1990). Brain growth in Down syndrome subjects 15 to 22 weeks of gestational age and birth to 60 months. Clin. Neuropathol. 9 181– 190. 2146054
  55. Sleigh J. N. Barreiro-Iglesias A. Oliver P. L. Biba A. Becker T. Davies K. E. (2014). Chondrolectin affects cell survival and neuronal outgrowth in in vitro and in vivo models of spinal muscular atrophy. Hum. Mol. Genet. 23 855– 869. 10.1093/hmg/ddt477 24067532 · DOI
  56. Sobol M. Klar J. Laan L. Shahsavani M. Schuster J. Annerén G. (2019). Transcriptome and proteome profiling of neural induced pluripotent stem cells from individuals with down syndrome disclose dynamic dysregulations of key pathways and cellular functions. Mol. Neurobiol. 56 7113– 7127. 10.1007/s12035-019-1585-3 30989628 PMC6728280 · DOI
  57. Stagni F. Giacomini A. Emili M. Uguagliati B. Bonasoni M. P. Bartesaghi R. (2019). Subicular hypotrophy in fetuses with Down syndrome and in the Ts65Dn model of Down syndrome. Brain Pathol. 29 366– 379. 10.1111/bpa.12663 30325080 PMC8028278 · DOI · Paper page
  58. Tarui T. Im K. Madan N. Madankumar R. Skotko B. G. Schwartz A. (2020). Quantitative MRI analyses of regional brain growth in living fetuses with down syndrome. Cereb. Cortex 30 382– 390. 10.1093/cercor/bhz094 31264685 PMC7029684 · DOI · Paper page
  59. Telias M. Ben-Yosef D. (2021). Pharmacological manipulation of Wnt/β-catenin signaling pathway in human neural precursor cells alters their differentiation potential and neuronal yield. Front. Mol. Neurosci. 14: 680018. 10.3389/fnmol.2021.680018 34421534 PMC8371257 · DOI
  60. Tiberi L. Vanderhaeghen P. Van den Ameele J. (2012). Cortical neurogenesis and morphogens: Diversity of cues, sources and functions. Curr. Opin. Cell Biol. 24 269– 276. 10.1016/j.ceb.2012.01.010 22342580 · DOI
  61. Traxler L. Lagerwall J. Eichhorner S. Stefanoni D. D’alessandro A. Mertens J. (2021). Metabolism navigates neural cell fate in development, aging and neurodegeneration. Dis. Model Mech. 14: dmm048993. 10.1242/dmm.048993 34345916 PMC8353098 · DOI
  62. Weatherbee B. A. T. Gantner C. W. Iwamoto-Stohl L. K. Daza R. M. Hamazaki N. Shendure J. (2023). Pluripotent stem cell-derived model of the post-implantation human embryo. Nature 622 584– 593. 37369347 PMC10584688
  63. Weick J. P. Held D. L. Bonadurer G. F. III Doers M. E. Liu Y. Maguire C. (2013). Deficits in human trisomy 21 iPSCs and neurons. Proc. Natl. Acad. Sci. U. S. A. 110 9962– 9967. 23716668 PMC3683748
  64. Weick J. P. Kang H. Bonadurer G. F. III Bhattacharyya A. (2016). Gene expression studies on human trisomy 21 iPSCs and neurons: Towards mechanisms underlying down’s syndrome and early Alzheimer’s Disease-like pathologies. Methods Mol. Biol. 1303 247– 265. 10.1007/978-1-4939-2627-5_15 26235072 · DOI
  65. Xie Z. Bailey A. Kuleshov M. V. Clarke D. J. B. Evangelista J. E. Jenkins S. L. (2021). Gene set knowledge discovery with enrichr. Curr. Protoc. 1: e90. PMC8152575 33780170
  66. Zhang S. C. Wernig M. Duncan I. D. Brustle O. Thomson J. A. (2001). In vitro differentiation of transplantable neural precursors from human embryonic stem cells. Nat. Biotechnol. 19 1129– 1133. 11731781
  67. Zhong Z. Ohnmacht J. Reimer M. M. Bach I. Becker T. Becker C. G. (2012). Chondrolectin mediates growth cone interactions of motor axons with an intermediate target. J. Neurosci. 32 4426– 4439. 10.1523/JNEUROSCI.5179-11.2012 22457492 PMC6622066 · DOI
  68. Zhou X. Chen X. Hong T. Zhang M. Cai Y. Cui L. (2022). TTC3-mediated protein quality control, a potential mechanism for cognitive impairment. Cell Mol. Neurobiol. 42 1659– 1669. 10.1007/s10571-021-01060-z 33638766 PMC9239942 · DOI

Authors
Martinez, J. L., Piciw, J. G., Crockett, M., Sorci, I. A., Makwana, N., Sirois, C. L., Giffin-Rao, Y., & Bhattacharyya, A.
Affiliations
University of Wisconsin–Madison (US)
Corresponding author
Bhattacharyya, Anita
Venue
Frontiers in Cellular Neuroscience
Published
2024-01-30
Volume
18
Pages
1341141-1341141
ISSN
1662-5102 (ISSN-L)
OpenAlex
W4391358880
Cited by
15
References
83
Citations by year
2026: 4 · 2025: 7 · 2024: 4
FWCI
6.19
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Cellular Neuroscience (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • University of Wisconsin-Madison
  • Waisman Center (P50HD105353)
  • National Institutes of Health (NIH 5 T32)
  • National Institute on Aging (R36AG072108)
  • National Institute of General Medical Sciences (T32GM008349, T32GM135066, T32GM140935)
  • National Institute of Child Health and Human Development
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD111938, P50HD105353, R01HD106197)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Developmental Biology and Gene Regulation
Keywords
Down syndrome, neural induction, neural development, gene expression, embryoid bodies, neuroectoderm differentiation, Wnt signaling, Notch signaling, oxidative stress, extracellular matrix, metabolic dysfunction, intellectual disability

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