Abstract
Synaptic dysfunction is a candidate mechanism in psychotic disorders, yet the precise underlying substrates remain elusive. We investigated how combining in vivo electroencephalography (EEG) and in vitro human cortical spheroid (hCS)-based methods can further our understanding of psychosis pathophysiology during fetal stages of neurodevelopment. Ten individuals with schizophrenia (SZ) or bipolar disorder (BD; 5 males and 5 females) and five controls (CTRL; 3 males and 2 females) underwent EEG assessments, including long-term potentiation (LTP)-like cortical plasticity and mismatch negativity (MMN). hCS were generated from induced pluripotent stem cells of all participants, and immunohistochemistry, Seahorse bioenergetics and patch-clamp recordings were performed. EEG-based LTP-like plasticity was reduced in individuals with SZ and BD. Basal respiration was decreased in BD hCS and VGLUT1 levels were reduced in both SZ and BD hCS. There was a positive association between EEG-based LTP-like plasticity and hCS basal respiration which survived correction. Our data provide further support for roles of mitochondrial and glutamatergic impairments in the synaptic dysfunction of psychosis and demonstrate the potential of combining EEG- and hCS-based methods for early development mechanistic studies of brain disorders.
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De-identified data supporting the findings of this study are available from the corresponding author upon reasonable request. Access is subjected to approval by the relevant ethics committee and data protection regulations.
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Acknowledgements
The research leading to these results has received funding from the South-Eastern Norway Regional Health Authority (#2018094, #2022087), EU’s Horizon Psych-STRATA project (#101057454), and the Research Council of Norway (#223273, #248828, #274359, #295679). D.R.A. has received funding from the European Union’s Horizon 2020 Research and Innovation Programme under the Marie Skłodowska-Curie Grant Agreement No 801133. We acknowledge the Norwegian Core Facility for Human Pluripotent Stem Cells Research Centre for the reprogramming of iPSC and for the use of their LSM700 confocal microscope.
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Conceived and designed the analysis, DRA., SD, and TE; Collected the data, EK, DRA, ABP, JRO, OI, and MV Performed the analysis, EK, DRA, ABP, OI, JRO and MV; Writing and editing of the paper, DRA, ABP, JRO, OI, IAA, TMM, EGJ, OAA, SD, EK, TE; Supervision and funding acquisition, TE, SD and OAA All authors have read and agreed to the published version of the manuscript.
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TE is a consultant to Sumitomo Pharma America and received speaker’s honoraria from Lundbeck and Janssen Cilag. OAA is a consultant to HealthLytix and received speaker’s honoraria from Lundbeck. The other authors declare no conflict of interest.
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Reis de Assis, D., Pentz, A.B., Requena Osete, J. et al. Investigating neural impairments in psychotic disorders using electroencephalography and cortical spheroids. Transl Psychiatry (2026). https://doi.org/10.1038/s41398-026-03863-4
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DOI: https://doi.org/10.1038/s41398-026-03863-4


