Table 2 Overview of current published IPN stem cell research and phenotypes.
From: Advances and challenges in modeling inherited peripheral neuropathies using iPSCs
IPN subtype | Affected genes & mutation | Human iPSC-derived cell model | Inclusion of isogenic line(s) | Phenotypical features? Treatment tested? | References |
---|---|---|---|---|---|
CMT | |||||
CMT1A | PMP22_dup | iPSC-derived Schwann cell precursors | NA | Developmental disabilities of Schwann cells. | Shi et al., 162 |
CMT1A | PMP22_dup | iPSC-derived Schwann cell precursors | Yes | Upregulation of CXCL1 and MCP-1 proteins, as well an associated infiltration of immune cells into nerve tissues. | Mukherjee-Clavin et al. 50 |
CMT1A | PMP22_dup | iPSC-derived organoids | Yes | Early ultrastructural myelin alterations; increased myelin periodic line distance and hypermyelination of small axons. Treatment? shRNA & combinatorial treatment with baclofen, naltrexone hydrochloride, and D-sorbitol | Van Lent et al. 106 |
CMT1A | PMP22_dup | iPSC-Schwann cell precursors | Yes | Lipid metabolic abnormalities primarily associated with cholesterol and sphingolipids. | Prior et al. 51 |
CMT1A, CMT1B, CMT1D | PMP22_dup, MPZR98C, EGR2R353G | iPSC-derived neural crest cells | NA | Glutathione-mediated detoxification gene expression pathway as common pathway behind demyelinating neuropathies. | Kitani-Morii et al., 163 |
CMT1F | NEFLA367* | iPSC-derived motor neurons | NA | Complete absence of NEFL protein. | Sainio et al., 164 |
CMT1F | NEFLA367*, NEFL−/− | iPSC-derived motor neurons | Yes | Absence of NEFL protein. Also, reduced axonal caliber, decreased amplitude of miniature excitatory postsynaptic currents, reduced NEFH levels, and no compensatory increases in other filament subunits. The movement of mitochondria and to a lesser extent lysosomes was increased. Tested: Nonsense suppressor drugs did not rescue NEFL loss. | Sainio et al., 165 |
CMT2A, CMT2E | MFN2R364W, NEFLN98S | iPSC-derived motor neurons | NA | Abnormal cytoskeletal and mitochondrial dynamics. Hyperexcitable and altered sodium and calcium channel kinetics. | Saporta et al. 15 |
CMT2A | MFN2A383V | iPSC-derived motor neurons | NA | Global reduction in mitochondrial content and altered mitochondrial positioning. Abnormal apoptosis resistance and increased autophagy. Treatment? RNAi/gene therapy combined approach | |
CMT2A, CMT2E | MFN2R94Q, NEFLP8R | iPSC-derived motor neurons | NA | Reduced PFN2 expression | Juneja et al. 112 |
CMT2A, CMT2E, CMT2F, CMT2L | MFN2R94Q, NEFLP8R, HSPB1G84R, HSPB1P182L, HSPB8K141N | iPSC-derived motor and sensory neurons | Yes | Gene-specific phenotypes and common hallmarks of axonal degeneration such as impairments in axonal transport and mitochondrial function. Treatment? GNE-8505 (DLK-inhibitor) | Van Lent et al. 21 |
CMT2A | MFN2R94Q | Human ESCs-derived motor neurons | Yes | Impaired mitochondrial trafficking and reduced numbers of mitochondria in distal parts of axons. Treatment? ACY-738 (HDAC6 inhibitor) | Butler et al. 86 |
CMT2B | RAB7AV162M | iPSC-derived sensory neurons | NA | Increased lysosomal protein expression and lysosomal activity. | Romano et al. 29 |
CMT2D | GARS1P724H | iPSC-derived motor neurons | Yes | Deficiencies in spontaneous action potential firing and burst fire behavior. Decreased acetylated α-tubulin levels and mitochondrial movement within axons. Treatment? Tubastatin A and CKD504 (HDAC6 inhibitors) | Smith et al., 2021167 |
CMT2E | NEFLN98S | iPSC-derived motor neuron spheroids | NA | NEFL deposits and increased neurofilament levels in the culture supernatant. Treatment? PLK1 (PLKi) and CK2 inhibitor (kinase inhibitors) | Maciel et al. 73 |
CMT2E | NEFLN98S | iPSC-derived (inducible) motor neurons | Yes | Pathologic accumulation of NEFL protein in the cell body. | Feliciano et al. 25 |
CMT2F | HSPB1S135F, HSPB1P182L | iPSC-derived motor neurons | NA | Decreased acetylation of α-tubulin and axonal movement defects of mitochondria. Treatment? CHEMICAL X4 and CHEMICAL X9 (HDAC6 inhibitors) | Kim et al. 146 |
CMT2F | HSPB1P182L | iPSC-derived motor neurons | NA | Decreased autophagic flux. | Haidar et al. 71 |
CMT2F | HSPB1P182L | iPSC-derived motor neurons | NA | Large, cytoplasmic aggregates. | Alderson et al. 72 |
CMT2H | GDAP1S194* | iPSC-derived motor neurons | NA | Lipid dysfunction, oxidative stress, and mitochondrial cristae defects. | Miressi et al. 24 |
CMT2-AR | SORD−/− | iPSC-derived motor neurons | NA | Increased sorbitol levels. Treatment? AT-007 (govorestat) (Aldose reductase inhibitor) | Zhu et al. 69 |
CMT2 | MT-ATP6 m.9154C>T | iPSC-derived motor neurons | Yes | Impaired assembly of ATP synthase, disrupted mitochondrial cristae morphology, defective differentiation with high heteroplasmy, metabolic shift with lower heteroplasmy. | Kenvin et al. 74 |
CMT4A | GDAP1(L239F/R273G) GDAP1(c.579 + 1G>A) | iPSC-derived motor neurons | NA | Increased glutaminolysis, reduced lipid droplets, and reduced mitochondrial Ca2+ levels. | Wolf et al. 168 |
CMTX6 | PDK3R158H | iPSC-derived motor neurons | Yes | Increased phosphorylation of the PDC, energy metabolism defects, and mitochondrial abnormalities. Treatment? DCA (pan PDK inhibitor) | Perez-Siles et al. 17 |
dHMN | |||||
dHMNX | ATP7AT994I | iPSC-derived motor neurons | NA | Reduced ATP7A protein levels in the soma and failure to upregulate expression of ATP7A under copper-loading conditions. | Perez-Siles et al. 27 |
dHMN | DHMN1UBE3C-IF | iPSC-derived motor neurons | NA | Significant reduction of wild-type full-length UBE3C protein levels. | Cutrupi et al. 18 |
HSAN | |||||
HSAN-I (HSN1) | SPTLC1C133W | iPSCs, iPSC-derived sensory neurons, and myelinating cocultures (iPSC-SN and rat Schwann cells) | NA | Production of neurotoxic deoxysphingolipid bases (DSBs), reduced complex gangliosides, and impaired neurotrophin signaling, resulting in reduced neurite outgrowth. In HSN1 myelinating cocultures, major disruption of nodal complex proteins causing myelin breakdown. Treatment? L-serine supplementation | Clark et al. 28 |
HSAN-III (Familial dysautonomia) | Homozygous IKBKAPIVS20+6 T>C | iPSC-derived neural crest precursors | NA | Low levels of normal IKBKAP transcript. Decreased rate of neurogenesis, and reduced migration. Treatment? Early stage long-term kinetin | Lee et al. 14 |
HSAN-III | Homozygous IKBKAPIVS20+6T>C | iPSC-derived neural crest precursors | NA | Low levels of normal IKBKAP transcript and reduced migration. Treatment? SKF-86466 | Lee et al., 169 |
HSAN-III | Homozygous IKBKAPIVS20+6T>C *Severe HSAN-III patients had additional +/-mutations in LAMB4, FAT2 or KIAA1211 | iPSC-derived neural crest, and sensory and autonomic-like neurons | Yes | IKBKAP missplicing, deficit in ASCL1 expression levels, and migration defects. Severe FD patient cells display impaired specification of NC derivatives, affecting autonomic and sensory neurons. Both severe and mild FD cells exhibit defects in peripheral neuron survival. Treatment? Kinetin and SKF-86466 | Zeltner et al., 170 |
HSAN-III | Homozygous IKBKAPIVS20+6T>C | iPSC-derived neural crest and iPSC-derived sensory neurons | Yes | Affected dense ridges in NCC generation, decrease in SOX10, affected sensory neuron generation from iPSCs. | Saito-Diaz et al. 35 |
HSAN-III | Homozygous IKBKAPIVS20+6T>C | iPSC-derived sensory neurons | NA | Absence of serine/arginine-rich splicing factor 6 (SRSF6) binding to an intronic splicing enhancer in intron 20 Treatment? Small molecule splice modulator, RECTAS, interacts with CDC-like kinases (CLKs) and enhances SRSF6 cellular activity | Ajiro et al., 171 |
HSAN-III | Homozygous IKBKAPIVS20+6T>C | iPSC-derived neural crest, and sympathetic autonomic neurons | Yes | Spontaneous, intrinsic hyperactivity, defective norepinephrine autoregulatory pathway, lower NET expression. Treatment? Dexmedetomidine, carbidopa, clozapine, flupiritine, … | Wu et al. 43 |
HSAN-III | Homozygous IKBKAPIVS20+6T>C | iPSC-sympathetic and parasympathetic autonomic neurons | NA | FD-parasymANS are spontaneously hyperactive and the normal crosstalk with symANS is disconnected. | Wu et al. 44 |
Congenital insensitivity to pain (CIP) | Compound heterozygote SCN9AR830X & FS1773, SCN9AR896W & c.377+5C>T SCN9A−/− | iPSCs, iPSC-derived sensory neurons | Yes | Nociceptors are hypoexcitable to both threshold and suprathreshold electrical stimuli Treatment? PF-05089771, BIIB074 (lacks specificity for Nav1.7, the protein product of SCN9A) | McDermott et al. 70 |