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Bipolar disorder-iPSC derived neural progenitor cells exhibit dysregulation of store-operated Ca2+ entry and accelerated differentiation

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MOLECULAR PSYCHIATRY
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DOI: 10.1038/s41380-023-02152-6

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Research has found abnormal calcium signaling and neural development in bipolar disorder (BD) patient induced pluripotent stem cell-derived neural progenitor cells (BD-NPCs) and neurons. BD-NPCs showed attenuated store-operated calcium entry (SOCE) and accelerated neurodifferentiation. They also exhibited slower proliferation, increased neurite outgrowth, and decreased neurosphere formation, as well as decreased subventricular areas in developing BD cerebral organoids. BD-NPCs had high expression of the let-7 family and BD neurons had increased miR-34a, both of which are microRNAs implicated in neurodevelopment and BD etiology.
While most of the efforts to uncover mechanisms contributing to bipolar disorder (BD) focused on phenotypes at the mature neuron stage, little research has considered events that may occur during earlier timepoints of neurodevelopment. Further, although aberrant calcium (Ca2+) signaling has been implicated in the etiology of this condition, the possible contribution of store-operated Ca2+ entry (SOCE) is not well understood. Here, we report Ca2+ and developmental dysregulations related to SOCE in BD patient induced pluripotent stem cell (iPSC)-derived neural progenitor cells (BD-NPCs) and cortical-like glutamatergic neurons. First, using a Ca2+ re-addition assay we found that BD-NPCs and neurons had attenuated SOCE. Intrigued by this finding, we then performed RNA-sequencing and uncovered a unique transcriptome profile in BD-NPCs suggesting accelerated neurodifferentiation. Consistent with these results, we measured a slower rate of proliferation, increased neurite outgrowth, and decreased size in neurosphere formations with BD-NPCs. Also, we observed decreased subventricular areas in developing BD cerebral organoids. Finally, BD NPCs demonstrated high expression of the let-7 family while BD neurons had increased miR-34a, both being microRNAs previously implicated in neurodevelopmental deviations and BD etiology. In summary, we present evidence supporting an accelerated transition towards the neuronal stage in BD-NPCs that may be indicative of early pathophysiological features of the disorder.

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