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PU.1 restores microglial dysfunction caused by C9ORF72 repeat expansions in neural organoids.

Overview

Authors: Tijana Ljubikj1, Mayte Z Mars1, Astrid T van der Geest1, Channa E Jakobs1, Nils Bessler2, Vanessa Donega1,3,4, Xynthia P R M van den Oetelaar1, Marina de Wit1, R Jeroen Pasterkamp1
  1. Department of Translational Neuroscience, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht 3584 CG, The Netherlands
  2. Princess Máxima Center for Pedriatic Onocology, Utrecht University, Utrecht 3584 CS, The Netherlands
  3. Department of Anatomy and Neurosciences, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam 1081 HV, The Netherlands
  4. Amsterdam Neuroscience, Cellular and Molecular Mechanisms, Amsterdam 1081 HV, The Netherlands
Journal: Brain : a journal of neurology, volume 149, issue 3, pages 801-817
Dates: received 15 February 2025; accepted 19 August 2025; published online 12 September 2025; in print March 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1093/brain/awaf340 · PMID 40966720 · PMCID PMC13016731 · OpenAlex W4414318792
Open access: hybrid, a free copy (OpenAlex)
Status: data only
Categories: human (organism), other condition (population), Alzheimer's / dementia (population), cellular / molecular (subfield)
Methods: Statistics, Connectivity, fMRI & imaging
Keywords: amyotrophic lateral sclerosis, C9ORF72, neural organoid, microglia, phagocytosis, synapse
MeSH: Amyotrophic Lateral Sclerosis*, C9orf72 Protein*, Frontotemporal Dementia*, Microglia*, Organoids*, Proto-Oncogene Proteins*, Trans-Activators*, DNA Repeat Expansion, Humans, Induced Pluripotent Stem Cells, Phagocytosis (* major topic)
Topic: Amyotrophic Lateral Sclerosis Research (Neurology, Medicine), according to OpenAlex
Funding: Stichting ALS Nederland; MAXOMOD and INTEGRALS consortia; ERANet; ALS CURE project; Alzheimer Nederland; Neurodegenerative Disease Research
Citations: cited by 2 papers (Europe PMC); 89 references in the paper

Abstract

Amyotrophic lateral sclerosis (ALS) is an adult-onset neurodegenerative disease characterized by loss of upper and lower motor neurons and progressive muscle wasting. Accumulating evidence indicates a role for non-neuronal cells in ALS pathogenesis, but their exact role and mechanism-of-action remain incompletely understood. A hexanucleotide (GGGGCC) repeat expansion (HRE) in C9ORF72 is the most common genetic cause of ALS (C9-ALS) and a frequent cause of frontotemporal dementia (FTD).

Several lines of experimental evidence support a role for the immune system and microglia in C9-ALS/FTD, and depending on experimental settings and species used, both reduced and increased microglial activity have been reported. To further study microglia in C9-ALS/FTD in the context of a complex, 3D disease environment, we developed cerebral organoids that innately develop microglia derived from induced pluripotent stem cells (iPSCs) of C9-ALS/FTD patients and controls.

Here, we show reduced cellular complexity and transcriptional changes in C9 neural organoid-derived microglia (C9-oMGs), involving phagocytic, lysosomal and immune response pathways. The release of inflammatory cues from C9-ALS/FTD organoids is decreased and LAMP1 expression in C9-oMGs is reduced. Functional analysis using live imaging reveals impaired phagocytosis by C9-oMGs and reduced engulfment of the post-synaptic protein PSD-95 by C9-oMGs in organoids. Finally, our transcriptomics analysis identifies a PU.1 (encoded by SPI1) regulon as the most strongly downregulated transcription factor network in C9-oMGs. Viral overexpression of PU.1 rescues phagocytosis and gene expression defects in C9-microglia.

Overall, our data demonstrate reduced microglial functions in a complex cellular disease environment and identify PU.1 as a potential target for restoring microglia changes in C9-ALS/FTD.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability

All data supporting the findings of this study are available within the article and its Supplementary information. The RNA-seq data discussed in this publication have been deposited in the National Center for Biotechnology Information's (NCBI) Gene Expression Omnibus and are accessible through GEO Series accession number GSE284339: (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE284339).

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 30 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 9 authors, 6 keywords, 11 MeSH terms, 6 funders, 88 references.

Cite

This paper

Ljubikj, T., Mars, M. Z., van der Geest, A. T., Jakobs, C. E., Bessler, N., Donega, V., van den Oetelaar, X. P. R. M., de Wit, M., & Pasterkamp, R. J. (2026). PU.1 restores microglial dysfunction caused by C9ORF72 repeat expansions in neural organoids. Brain : a journal of neurology, 149(3), 801-817. https://doi.org/10.1093/brain/awaf340

BibTeX

@article{ljubikj2026pu,
author = {Ljubikj, Tijana and Mars, Mayte Z and van der Geest, Astrid T and Jakobs, Channa E and Bessler, Nils and Donega, Vanessa and van den Oetelaar, Xynthia P R M and de Wit, Marina and Pasterkamp, R Jeroen},
title = {{PU.1 restores microglial dysfunction caused by C9ORF72 repeat expansions in neural organoids}},
journal = {Brain : a journal of neurology},
year = {2026},
month = mar,
volume = {149},
number = {3},
pages = {801--817},
publisher = {Oxford University Press},
issn = {0006-8950},
doi = {10.1093/brain/awaf340},
url = {https://doi.org/10.1093/brain/awaf340},
pmid = {40966720},
pmcid = {PMC13016731}
}

RIS

TY - JOUR
AU - Ljubikj, Tijana
AU - Mars, Mayte Z
AU - van der Geest, Astrid T
AU - Jakobs, Channa E
AU - Bessler, Nils
AU - Donega, Vanessa
AU - van den Oetelaar, Xynthia P R M
AU - de Wit, Marina
AU - Pasterkamp, R Jeroen
TI - PU.1 restores microglial dysfunction caused by C9ORF72 repeat expansions in neural organoids
T2 - Brain : a journal of neurology
J2 - Brain
PY - 2026
DA - 2026/03/01
VL - 149
IS - 3
SP - 801
EP - 817
SN - 0006-8950
PB - Oxford University Press
DO - 10.1093/brain/awaf340
UR - https://doi.org/10.1093/brain/awaf340
LA - en
ER -

CSL-JSON

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