TY - JOUR KW - AUTS2 syndrome KW - Autistic Disorder KW - CRISPR-Cas9 KW - Cytoskeletal Proteins KW - Humans KW - Intellectual Disability KW - Microcephaly KW - Neural Stem Cells KW - organoids KW - Transcription Factors KW - cerebral organoids KW - Microcephaly KW - neurodevelopmental disorder AU - Summer R. Fair AU - Wesley Schwind AU - Dominic L. Julian AU - Alecia Biel AU - Gongbo Guo AU - Ryan Rutherford AU - Swetha Ramadesikan AU - Jesse Westfall AU - Katherine E. Miller AU - Meisam Naeimi Kararoudi AU - Scott E. Hickey AU - Theresa Mihalic Mosher AU - Kim L. McBride AU - Reid Neinast AU - James Fitch AU - Dean A. Lee AU - Peter White AU - Richard K. Wilson AU - Tracy A. Bedrosian AU - Daniel C. Koboldt AU - Mark E. Hester AB - Variants in the AUTS2 gene are associated with a broad spectrum of neurological conditions characterized by intellectual disability, microcephaly, and congenital brain malformations. Here, we use a human cerebral organoid model to investigate the pathophysiology of a heterozygous de novo missense AUTS2 variant identified in a patient with multiple neurological impairments including primary microcephaly and profound intellectual disability. Proband cerebral organoids exhibit reduced growth, deficits in neural progenitor cell (NPC) proliferation and disrupted NPC polarity within ventricular zone-like regions compared to control cerebral organoids. We used CRISPR-Cas9-mediated gene editing to correct this variant and demonstrate rescue of impaired organoid growth and NPC proliferative deficits. Single-cell RNA sequencing revealed a marked reduction of G1/S transition gene expression and alterations in WNT-β-catenin signalling within proband NPCs, uncovering a novel role for AUTS2 in NPCs during human cortical development. Collectively, these results underscore the value of cerebral organoids to investigate molecular mechanisms underlying AUTS2 syndrome. BT - Brain: A Journal of Neurology DA - 2023-01-05 DO - 10.1093/brain/awac244 IS - 1 LA - eng N2 - Variants in the AUTS2 gene are associated with a broad spectrum of neurological conditions characterized by intellectual disability, microcephaly, and congenital brain malformations. Here, we use a human cerebral organoid model to investigate the pathophysiology of a heterozygous de novo missense AUTS2 variant identified in a patient with multiple neurological impairments including primary microcephaly and profound intellectual disability. Proband cerebral organoids exhibit reduced growth, deficits in neural progenitor cell (NPC) proliferation and disrupted NPC polarity within ventricular zone-like regions compared to control cerebral organoids. We used CRISPR-Cas9-mediated gene editing to correct this variant and demonstrate rescue of impaired organoid growth and NPC proliferative deficits. Single-cell RNA sequencing revealed a marked reduction of G1/S transition gene expression and alterations in WNT-β-catenin signalling within proband NPCs, uncovering a novel role for AUTS2 in NPCs during human cortical development. Collectively, these results underscore the value of cerebral organoids to investigate molecular mechanisms underlying AUTS2 syndrome. PY - 2023 SP - 387 EP - 404 T2 - Brain: A Journal of Neurology TI - Cerebral organoids containing an AUTS2 missense variant model microcephaly VL - 146 SN - 1460-2156 ER -