Int J Stem Cells.  2023 Nov;16(4):385-393. 10.15283/ijsc23012.

Transcriptional Signature of Valproic Acid-Induced Neural Tube Defects in Human Spinal Cord Organoids

Affiliations
  • 1Department of Anatomy, Brain Korea 21 Plus Program for Biomedical Science, Korea University College of Medicine, Seoul, Korea

Abstract

In vertebrates, the entire central nervous system is derived from the neural tube, which is formed through a conserved early developmental morphogenetic process called neurulation. Although the perturbations in neurulation caused by genetic or environmental factors lead to neural tube defects (NTDs), the most common congenital malformation and the precise molecular pathological cascades mediating NTDs are not well understood. Recently, we have developed human spinal cord organoids (hSCOs) that recapitulate some aspects of human neurulation and observed that valproic acid (VPA) could cause neurulation defects in an organoid model. In this study, we identified and verified the significant changes in cell–cell junctional genes/proteins in VPA-treated organoids using transcriptomic and immunostaining analysis. Furthermore, VPA-treated mouse embryos exhibited impaired gene expression and NTD phenotypes, similar to those observed in the hSCO model. Collectively, our data demonstrate that hSCOs provide a valuable biological resource for dissecting the molecular pathways underlying the currently unknown human neurulation process using destructive biological analysis tools.

Keyword

Organoid; Neurulation; Neurodevelopmental disorders; Neural tube defects; Valproic acid

Figure

  • Fig. 1 Modeling of valproic acid (VPA)–induced neural tube defects with human spinal cord organoids (hSCOs). (A) Experimental model to study the effect of duration of VPA treatment on morphogenesis. (B) Re-presentative time-lapse images of neural tube morphogenesis in VPA-treated groups compared with the control. Each image was acquired using an automated imaging system. Scale bar= 200 μm. (C) Quantification of morphogenesis with different durations of VPA treatment. The color of each box indicates the cumulative proportion of neural folding (upper) or neural tube (bottom). Stage of hSCOs at the indicated culture time. (D) Three-dimensional neural tube morphology with different VPA treatment durations on day 15. The structure was visualized using an apical marker and ZO1 staining. Scale bar=100 μm.

  • Fig. 2 Transcriptome analysis in human spinal cord organoids (hSCOs) exposed to valproic acid (VPA). (A) Scatter plots of transcriptome levels in hSCOs treated with VPA compared with the controls. Red circles denote the genes whose expression levels were significantly altered (≥2-fold) in VPA-treated vs control groups. (B) Biological processes associated with significantly upregulated genes. (C) Network plot of the upregulated genes enriched in VPA-treated hSCOs. Interactive network is generated using GeneMANIA plugin in Cytoscape. (D) Immunohistochemical evaluation of the upregulation of tight junction proteins, Occludin (OCLN), and ZO2. Average intensity of tight junction proteins was measured along the apico-basal axis. Scale bar=20 μm. (E) Perturbation of polarized localization of ZO1 and pMLC proteins in the neuroepithelial cells of VPA-treated hSCOs. White arrows indicate the ectopic expression of proteins in the VPA-treated group. Bar graphs show the number of ectopic ZO1 and pMLC punctas in neural-plate layers. Unpaired Student’s t-test was used for comparing two groups (**p<0.01 and ***p<0.01). Scale bar=20 μm. FC: fold change, Ctrl: control.

  • Fig. 3 Effect of tight junction proteins expression/distribution in valproic acid (VPA)-treated human spinal cord or-ganoid. (A) Immunohistochemistry of upregulation of tight junction proteins, ZO2 (red) and ZO1 (green) caused by VPA treatments for different durations. Scale bar=10 μm. (B) Line plots denoting the intensity of ZO1 and ZO2 staining along the closed/opened neural tube. (C) Pertur-bation of polarized localization of ZO1 proteins in neuroepithelium. The neuroepithelial cells were identified as SOX2 (magenta) staining and cellular arrangement surrounding apical marker, ZO1 (green). Scale bar=10 μm. (D) Quantification of the number of ectopic ZO1 punctas within neuroepithelial cell layers. Bar graphs represent mean±SEM, with all the points plotted. Unpaired Student’s t-test was used for comparing two groups (*p<0.05).

  • Fig. 4 Effect of valproic acid (VPA) on neural tube in the mouse em-bryo. Immunohistochemistry of VPA-induced neural tube defect mouse models. Various markers were used to observe changes in the expre-ssion/distribution of actin filaments (A, F-actin and pMLC) and tight junction proteins (B, Zo1, Zo2, and Ocln). Dissolved VPA was administrated three times to pregnant female mice at the time of primary neuru-lation. Scale bars=20 μm. Min: minimum, Max: maximum.


Reference

References

1. Schoenwolf GC, Smith JL. 1990; Mechanisms of neurulation: traditional viewpoint and recent advances. Development. 109:243–270. DOI: 10.1242/dev.109.2.243. PMID: 2205465.
Article
2. Copp AJ, Greene ND, Murdoch JN. 2003; The genetic basis of mammalian neurulation. Nat Rev Genet. 4:784–793. DOI: 10.1038/nrg1181. PMID: 13679871.
Article
3. Colas JF, Schoenwolf GC. 2001; Towards a cellular and molecular understanding of neurulation. Dev Dyn. 221:117–145. DOI: 10.1002/dvdy.1144. PMID: 11376482.
Article
4. Copp AJ, Stanier P, Greene ND. 2013; Neural tube defects: recent advances, unsolved questions, and controversies. Lancet Neurol. 12:799–810. DOI: 10.1016/S1474-4422(13)70110-8. PMID: 23790957. PMCID: PMC4023229.
Article
5. Avagliano L, Massa V, George TM, Qureshy S, Bulfamante GP, Finnell RH. 2019; Overview on neural tube defects: from development to physical characteristics. Birth Defects Res. 111:1455–1467. DOI: 10.1002/bdr2.1380. PMID: 30421543. PMCID: PMC6511489.
6. Harris MJ, Juriloff DM. 2010; An update to the list of mouse mutants with neural tube closure defects and advances toward a complete genetic perspective of neural tube closure. Birth Defects Res A Clin Mol Teratol. 88:653–669. DOI: 10.1002/bdra.20676. PMID: 20740593.
Article
7. Finnell RH, Caiaffa CD, Kim SE, et al. 2021; Gene environment interactions in the etiology of neural tube defects. Front Genet. 12:659612. DOI: 10.3389/fgene.2021.659612. PMID: 34040637. PMCID: PMC8143787. PMID: c93c33257ec34a14be44dd25ec610947.
Article
8. Greene ND, Stanier P, Copp AJ. 2009; Genetics of human neural tube defects. Hum Mol Genet. 18(R2):R113–R129. DOI: 10.1093/hmg/ddp347. PMID: 19808787. PMCID: PMC2758708.
Article
9. Copp AJ, Adzick NS, Chitty LS, Fletcher JM, Holmbeck GN, Shaw GM. 2015; Spina bifida. Nat Rev Dis Primers. 1:15007. DOI: 10.1038/nrdp.2015.7. PMID: 27189655. PMCID: PMC4898641.
Article
10. Wang L, Li Z, Jin L, et al. 2014; Indoor air pollution and neural tube defects: effect modification by maternal genes. Epide-miology. 25:658–665. DOI: 10.1097/EDE.0000000000000129. PMID: 25051309.
11. Shaw GM, Todoroff K, Velie EM, Lammer EJ. 1998; Maternal illness, including fever and medication use as risk factors for neural tube defects. Teratology. 57:1–7. DOI: 10.1002/(SICI)1096-9926(199801)57:1<1::AID-TERA1>3.0.CO;2-6. PMID: 9516745.
Article
12. Suarez L, Felkner M, Brender JD, Canfield M, Hendricks K. 2008; Maternal exposures to cigarette smoke, alcohol, and street drugs and neural tube defect occurrence in offspring. Matern Child Health J. 12:394–401. DOI: 10.1007/s10995-007-0251-y. PMID: 17641961.
Article
13. Lee JH, Shin H, Shaker MR, et al. 2022; Production of human spinal-cord organoids recapitulating neural-tube morpho-genesis. Nat Biomed Eng. 6:435–448. DOI: 10.1038/s41551-022-00868-4. PMID: 35347276.
Article
14. Wegner C, Drews E, Nau H. 1990; Zinc concentrations in mouse embryo and maternal plasma. Effect of valproic acid and nonteratogenic metabolite. Biol Trace Elem Res. 25:211–217. DOI: 10.1007/BF02990416. PMID: 1698419.
Article
15. Kim JY, Shaker MR, Lee JH, Lee B, Kim H, Sun W. 2017; Identification of molecular markers distinguishing adult neural stem cells in the subventricular and subcallosal zones. Anim Cells Syst (Seoul). 21:152–159. DOI: 10.1080/19768354.2017.1324522. PMID: 30460064. PMCID: PMC6138335.
Article
16. Warde-Farley D, Donaldson SL, Comes O, et al. 2010; The GeneMANIA prediction server: biological network integration for gene prioritization and predicting gene function. Nucleic Acids Res. 38:W214–W220. DOI: 10.1093/nar/gkq537. PMID: 20576703. PMCID: PMC2896186.
Article
17. Ehlers K, Stürje H, Merker HJ, Nau H. 1992; Valproic acid-induced spina bifida: a mouse model. Teratology. 45:145–154. DOI: 10.1002/tera.1420450208. PMID: 1377411.
Article
18. Hughes A, Greene NDE, Copp AJ, Galea GL. 2018; Valproic acid disrupts the biomechanics of late spinal neural tube closure in mouse embryos. Mech Dev. 149:20–26. DOI: 10.1016/j.mod.2017.12.001. PMID: 29225143. PMCID: PMC5846844.
Article
19. Koo B, Choi B, Park H, Yoon KJ. 2019; Past, present, and future of brain organoid technology. Mol Cells. 42:617–627. DOI: 10.14348/molcells.2019.0162. PMID: 31564073. PMCID: PMC6776157.
20. Jang H, Kim SH, Koh Y, Yoon KJ. 2022; Engineering brain organoids: toward mature neural circuitry with an intact cytoarchitecture. Int J Stem Cells. 15:41–59. DOI: 10.15283/ijsc22004. PMID: 35220291. PMCID: PMC8889333.
Article
21. Lee JH, Sun W. 2022; Neural organoids, a versatile model for neuroscience. Mol Cells. 45:53–64. DOI: 10.14348/molcells.2022.2019. PMID: 35236780. PMCID: PMC8907004.
Article
22. Susaimanickam PJ, Kiral FR, Park IH. 2022; Region specific brain organoids to study neurodevelopmental disorders. Int J Stem Cells. 15:26–40. DOI: 10.15283/ijsc22006. PMID: 35220290. PMCID: PMC8889336.
Article
23. Haremaki T, Metzger JJ, Rito T, Ozair MZ, Etoc F, Brivanlou AH. 2019; Self-organizing neuruloids model develop-mental aspects of Huntington's disease in the ectodermal compartment. Nat Biotechnol. 37:1198–1208. DOI: 10.1038/s41587-019-0237-5. PMID: 31501559.
Article
24. Karzbrun E, Khankhel AH, Megale HC, et al. 2021; Human neural tube morphogenesis in vitro by geometric constraints. Nature. 599:268–272. DOI: 10.1038/s41586-021-04026-9. PMID: 34707290. PMCID: PMC8828633.
Article
25. Sahni G, Chang SY, Meng JTC, et al. 2021; A micropatterned human-specific neuroepithelial tissue for modeling gene and drug-induced neurodevelopmental defects. Adv Sci (Weinh). 8:2001100. DOI: 10.1002/advs.202001100. PMID: 33717833. PMCID: PMC7927627. PMID: 6bd0687b0fd64a559eddde24ea136a8c.
Article
26. Knight GT, Lundin BF, Iyer N, et al. 2018; Engineering induction of singular neural rosette emergence within hPSC-derived tissues. Elife. 7:e37549. DOI: 10.7554/eLife.37549. PMID: 30371350. PMCID: PMC6205811. PMID: 1fa2e3a854e64c92958b13c035acd8cd.
Article
27. Zhang XZ, Huo HQ, Zhu YQ, et al. 2022; Folic acid rescues valproic acid-induced morphogenesis inhibition in neural rosettes derived from human pluripotent stem cells. Front Cell Neurosci. 16:888152. DOI: 10.3389/fncel.2022.888152. PMID: 35651759. PMCID: PMC9148965. PMID: 51efcc5ad61242039f85a77c5902f5a1.
Article
28. Ranga A, Girgin M, Meinhardt A, et al. 2016; Neural tube morphogenesis in synthetic 3D microenvironments. Proc Natl Acad Sci U S A. 113:E6831–E6839. DOI: 10.1073/pnas.1603529113. PMID: 27742791. PMCID: PMC5098636.
Article
29. Zheng Y, Xue X, Resto-Irizarry AM, et al. 2019; Dorsal-ventral patterned neural cyst from human pluripotent stem cells in a neurogenic niche. Sci Adv. 5:eaax5933. DOI: 10.1126/sciadv.aax5933. PMID: 31844664. PMCID: PMC6905871.
Article
30. Tung EW, Winn LM. 2011; Valproic acid increases formation of reactive oxygen species and induces apoptosis in postimplantation embryos: a role for oxidative stress in valproic acid-induced neural tube defects. Mol Pharmacol. 80:979–987. DOI: 10.1124/mol.111.072314. PMID: 21868484.
Article
31. Wegner C, Nau H. 1992; Alteration of embryonic folate metabolism by valproic acid during organogenesis: implications for mechanism of teratogenesis. Neurology. 42(4 Suppl 5):17–24. PMID: 1574172.
32. Lloyd KA. 2013; A scientific review: mechanisms of valproate-mediated teratogenesis. Bioscience Horiz. 6:hzt003. DOI: 10.1093/biohorizons/hzt003.
Article
33. Li Z, Ge W, Li Y, Zhang Y, Zhao X, Hu J. 2021; Valproic acid enhance reprogramming of bactrian camel cells through promoting the expression of endogenous gene c-Myc and the process of angiogenesis. Int J Stem Cells. 14:191–202. DOI: 10.15283/ijsc20213. PMID: 33632993. PMCID: PMC8138656.
Article
34. Lee Y, Kim D, Lee CJ. 2020; Suppressive effects of valproic acid on caudal fin regeneration in adult zebrafish. Anim Cells Syst (Seoul). 24:349–358. DOI: 10.1080/19768354.2020.1860126. PMID: 33456719. PMCID: PMC7782361. PMID: 513d8aa727c6419f96134d02a58aa432.
Article
35. Elmazar MM, Nau H. 1992; Methotrexate increases valproic acid-induced developmental toxicity, in particular neural tube defects in mice. Teratog Carcinog Mutagen. 12:203–210. DOI: 10.1002/tcm.1770120503. PMID: 1363493.
Article
36. Roy M, Leclerc D, Wu Q, Gupta S, Kruger WD, Rozen R. 2008; Valproic acid increases expression of methylenetetrahydrofolate reductase (MTHFR) and induces lower terato-genicity in MTHFR deficiency. J Cell Biochem. 105:467–476. DOI: 10.1002/jcb.21847. PMID: 18615588. PMCID: PMC2574752.
Article
37. Sahakyan V, Pozzo E, Duelen R, Deprest J, Sampaolesi M. 2017; Methotrexate and valproic acid affect early neurogenesis of human amniotic fluid stem cells from myelomeningocele. Stem Cells Int. 2017:6101609. DOI: 10.1155/2017/6101609. PMID: 29056972. PMCID: PMC5615990. PMID: 42576ed90de6411e992b33d7e3206aca.
Article
38. Muhsen M, Youngs J, Riu A, et al. 2021; Folic acid supplementation rescues valproic acid-induced developmental neurotoxicity and behavioral alterations in zebrafish embryos. Epilepsia. 62:1689–1700. DOI: 10.1111/epi.16915. PMID: 33997963.
Article
39. Cao R, Xie J, Zhang L. 2022; Abnormal methylation caused by folic acid deficiency in neural tube defects. Open Life Sci. 17:1679–1688. DOI: 10.1515/biol-2022-0504. PMID: 36589786. PMCID: PMC9784971. PMID: ce9b40f59ef3411bb8bf14b413d91cef.
Article
40. Bjorklund NK, Gordon R. 2006; A hypothesis linking low folate intake to neural tube defects due to failure of post-translation methylations of the cytoskeleton. Int J Dev Biol. 50:135–141. DOI: 10.1387/ijdb.052102nb. PMID: 16479482.
Article
Full Text Links
  • IJSC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr