Review Article

Brain Organoids: Studying Human Brain Development and Diseases in a Dish

Table 1

Selected studies investigating neurological disorders/deficits using human brain organoids.

DiseaseStudiesOrganoid typeMethods of generationoutcomes

Primary microcephalyLancaster et al., 2013 [14]Cerebral organoidsPatient iPSC-derived; CDK5RAP2 mutationFewer progenitor cells, premature neuronal differentiation; CDK5RAP2 overexpression rescued the mutant phenotypes
Li et al., 2017 [70]Cerebral organoidsPatient iPSC-derived; ASPM mutationReduced organoid size, fewer progenitor cells in VZ and oSVZ, poor lamination, reduced neuronal calcium activity
Gabriel et al., 2016 [75]Cerebral organoidsSeckel patient iPSC-derived; CPAP mutationDelayed cilia disassembly led to premature differentiation of NPCs and reduced progenitor pools
Zhang et al., 2019 [134]Cerebral organoidshPSC-derived; CRISPR/Cas9-mediated homozygous knockout of WDR62Delayed cilia disassembly and retarded cell cycle progression led to reduced proliferation and premature differentiation of NPCs

Autism spectrum disorder (ASD)Mariani et al., 2015 [15]Cortical organoidsIdiopathic ASD patient iPSC-derivedAltered transcriptomic profiles, particularly FOXG1 upregulation; accelerated cell cycles; increased GABAergic neuron production, can be rescued by RNAi-mediated FOXG1 knockdown
Wang et al., 2017 [76]Cerebral organoidshiPSC-derived, CRISPR/Cas9-mediated heterozygous mutation of CHD8 (CHD8+/-)Upregulation of genes involved in neurogenesis, neuronal differentiation, forebrain development, Wnt/β-catenin signaling, and axonal guidance

Tuberous sclerosis complex (TSC)Blair et al., 2018 [81]Cortical spheroidsCRISPR/Cas9-mediated homozygous knockout of TSC1 or TSC2 in hESCsmTORC1 hyperactivation, reduced neurogenesis, increased gliogenesis; dysplastic cells in TSC2-/- cortical spheroids can be rescued by early and continuous rapamycin treatments

Neonatal hypoxia-ischemia injuryBoisvert et al., 2019 [82]Cerebral organoidshESC-derived; 72-hour under hypoxic environmentInhibition of dorsal-related genes such as FOXG1, CTIP2, and TBR1; could be alleviated by minocycline
Pasca et al., 2019 [84]Cortical spheroidshiPSC-derived; 48-hour under hypoxic environmentReduction of TBR2+ intermediate progenitors led to cell cycle damage and premature neural differentiation; rescued by ISRIB treatments

ZIKV-associated microcephalyQian et al., 2016 [17]Cortical organoidshiPSC-derived; MR766 and FSS13025 ZIKV strain infectedReduced organoid size, reduced neuronal layer thickness, expanded ventricular lumen, increased cell death
Dang et al., 2016 [87]Cerebral organoidshESC-derived; MR766 ZIKV strain infectedReduced organoid size, TLR3 upregulation and TLR3-mediated transcriptomic alterations; direct inhibition of TLR3 reduced phenotypes
Watanabe et al., 2017 [88]Cortical organoidshPSC-derived; PRVABC59 ZIKV strain infectedActivated innate immune responses led to increased progenitor apoptosis and reduced organoid size; duramycin or ivermectin rescued the teratogenic effects of ZIKV infection

SARS-CoV-2-associated neurological deficitsJacob et al., 2020a [98]Cortical, hippocampal, hypothalamic, midbrain, and ChP organoidshiPSC-derived; SARS-CoV-2 USA-WA1/2020 infectedParticular tropism for ChP epithelial cells, caused increased cell death, transcriptional dysregulation, disrupted ChP epithelial integrity and barrier function
Pellegrini et al., 2020 [100]Cerebral and ChP organoidshPSC-derived; SARS-CoV-2 spike pseudovirus and live virus infectedParticular tropism for ChP epithelial cells of cerebral organoids; infected cells expressing ACE2 and lipoproteins; ChP epithelial integrity and barrier function were disrupted

Alzheimer’s disease (AD)Gonzalez et al., 2018 [102]Cerebral organoidsFamilial AD or DS patient iPSC-derivedβ-Amyloid (Aβ) aggregation, formation of neurofibrillary tangle-like structures, hyperphosphorylated tau, increased cell apoptosis
Lin et al., 2018 [109]cerebral organoidsCRISPR/Cas9-generated isogenic iPSC lines homozygous for APOE4 allelesIncreased Aβ accumulation and tau phosphorylation

Parkinson’s disease (PD)Kim et al., 2019a [34]Midbrain organoidsCRISPR/Cas9-generated isogenic iPSC lines harboring LRRK2 G2019S mutationShortened neurite length and decreased marker expression of mDAN; increased aggregation and abnormal clearance of α-synuclein; inhibition of upregulated TXNIP ameliorated mutant phenotypes
Wulansari et al., 2021 [114]Midbrain organoidsCRISPR/Cas9-mediated homozygous knockout of DNAJC6 in hESCsmDAN degeneration, α-synuclein aggregation, increased neuronal firing frequencies, mitochondrial and lysosomal defects

Huntington’s disease (HD)Conforti et al., 2018 [133]Cerebral organoidsPatient iPSC-derivedDefective progenitor identity acquisition, abnormal neuronal specification, and disrupted cellular organization
Zhang et al., 2019 [134]Cerebral organoidsPatient iPSC-derived and isogenic HD hESC-derivedImpaired cell cycle, disrupted neuroepithelial structures, and premature neurogenesis

GlioblastomaLinkous et al., 2019 [139]Cerebral organoid glioma (GLICO)Patient-derived glioma stem cells cocultured with hESC-derived cerebral organoidsRapid and deep invasion of glioblastoma cells into cerebral organoids; invasive tumor phenotypes in hybrid organoids
Jacob et al., 2020b [143]Glioblastoma organoidsPatient-derivedRecapitulated histological, cellular, and transcriptomic features of glioblastoma; aggressive infiltration after transplantation

hPSC: human pluripotent stem cell, including hiPSC and hESC; hiPSC: human-induced pluripotent stem cell; hESC: human embryonic stem cell; VZ: ventricular zone; oSVZ: outer subventricular zone; NPC: neural progenitor cells; ChP: choroid plexus; DS: Down syndrome; mDAN: midbrain dopaminergic neuron.