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Publication : Recapitulating and reversing human brain ribosomopathy defects via the maladaptive integrated stress response.

First Author  Zhang W Year  2024
Journal  Sci Adv Volume  10
Issue  5 Pages  eadk1034
PubMed ID  38306425 Mgi Jnum  J:344970
Mgi Id  MGI:7580120 Doi  10.1126/sciadv.adk1034
Citation  Zhang W, et al. (2024) Recapitulating and reversing human brain ribosomopathy defects via the maladaptive integrated stress response. Sci Adv 10(5):eadk1034
abstractText  Animal or human models recapitulating brain ribosomopathies are incomplete, hampering development of urgently needed therapies. Here, we generated genetic mouse and human cerebral organoid models of brain ribosomopathies, caused by mutations in small nucleolar RNA (snoRNA) SNORD118. Both models exhibited protein synthesis loss, proteotoxic stress, and p53 activation and led to decreased proliferation and increased death of neural progenitor cells (NPCs), resulting in brain growth retardation, recapitulating features in human patients. Loss of SNORD118 function resulted in an aberrant upregulation of p-eIF2alpha, the mediator of integrated stress response (ISR). Using human iPSC cell-based screen, we identified small-molecule 2BAct, an ISR inhibitor, which potently reverses mutant NPC defects. Targeting ISR by 2BAct mitigated ribosomopathy defects in both cerebral organoid and mouse models. Thus, our SNORD118 mutant organoid and mice recapitulate human brain ribosomopathies and cross-validate maladaptive ISR as a key disease-driving mechanism, pointing to a therapeutic intervention strategy.
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