Alcohol use contributes to numerous diseases and injuries. The nervous system is affected by alcohol in diverse ways, though the molecular mechanisms of these effects are not clearly understood. Using human-induced pluripotent stem cells (iPSCs), we developed a neural cell culture model to identify the mechanisms of alcohol's effects. iPSCs were generated from fibroblasts and differentiated into forebrain neural cells cultures that were treated with 50 mM alcohol or sham conditions (same media lacking alcohol) for 7 days. We analyzed gene expression using total RNA sequencing (RNA-seq) for 34 samples derived from 10 subjects and for 10 samples from 5 subjects in an independent experiment that had intermittent exposure to the same dose of alcohol. We also analyzed genetic effects on gene expression and conducted a weighted correlation network analysis. We found that differentiated neural cell cultures have the capacity to recapitulate gene regulatory effects previously observed in specific primary neural tissues and identified 226 genes that were differentially expressed (FDR < 0.1) after alcohol treatment. The effects on expression included decreases in INSIG1 and LDLR, two genes involved in cholesterol homeostasis. We also identified a module of 58 co-expressed genes that were uniformly decreased following alcohol exposure. The majority of these effects were supported in independent alcohol exposure experiments. Enrichment analysis linked the alcohol responsive genes to cell cycle, notch signaling, and cholesterol biosynthesis pathways, which are disrupted in several neurological disorders. Our findings suggest that there is convergence between these disorders and the effects of alcohol exposure.
There is growing evidence that the anticonvulsant topiramate is efficacious in reducing alcohol consumption.Further, an intronic single nucleotide polymorphism (rs2832407, C ! A) in the GRIK1 gene, which encodes the GluK1 subunit of the excitatory kainate receptor, predicted topiramate's effectiveness in reducing heavy drinking in a clinical trial. In the current study, we differentiated a total of 22 induced pluripotent stem cell (iPSCs) lines characterized by GRIK1 rs2832407 genotype (10 A/A and 12 C/C) into forebrain-lineage neural cultures to explore molecular correlates of GRIK1 genotype that may relate to topiramate's ability to reduce drinking. Our differentiation protocol yielded mixed neural cultures enriched for glutamatergic neurons. Characterization of the GRIK1 locus revealed no effect of rs2832407 genotype on GRIK1 isoform mRNA expression, however a significant difference was observed on GRIK1 antisense-2, with higher expression in C/C neural cultures. Differential effects of acute exposure to 5 μM topiramate were observed on the frequency of spontaneous synaptic activity in A/A vs. C/C neurons, with a smaller reduction in excitatory event frequency and a greater reduction in inhibitory event frequency observed in C/C donor neurons.This work highlights the use of iPSC technologies to study pharmacogenetic treatment effects in psychiatric disorders and furthers our understanding of the molecular effects of topiramate exposure in human neural cells.
Twin studies indicate that there is a significant genetic contribution to the risk of developing alcohol use disorder (AUD). With the exception of coding variants in ADH1B and ALDH2, little is known about the molecular effects of AUD‐associated loci. We previously reported that the AUD‐associated synonymous polymorphism rs279858 within the GABAA α2 receptor subunit gene, GABRA2, was associated with gene expression of the chr4p12 GABAA subunit gene cluster in induced pluripotent stem cell (iPSC)‐derived neural cultures. Based on this and other studies that showed changes in GABRA2 DNA methylation associated with schizophrenia and aging, we examined methylation in GABRA2. Specifically, using 69 iPSC lines and neural cultures derived from 47 of them, we examined whether GABRA2 rs279858 genotype predicted methylation levels and whether methylation was related to GABAA receptor subunit gene expression. We found that the GABRA2 CpG island undergoes random stochastic methylation during reprogramming and that methylation is associated with decreased GABRA2 gene expression, an effect that extends to the GABRB1 gene over 600 kb distal to GABRA2. Further, we identified additive effects of GABRA2 CpG methylation and GABRA2 rs279858 genotype on expression of the GABRB1 subunit gene in iPSC‐derived neural cultures.
There is growing evidence that the anticonvulsant topiramate is efficacious in reducing alcohol consumption.Further, an intronic single nucleotide polymorphism (rs2832407, C ! A) in the GRIK1 gene, which encodes the GluK1 subunit of the excitatory kainate receptor, predicted topiramate's effectiveness in reducing heavy drinking in a clinical trial. In the current study, we differentiated a total of 22 induced pluripotent stem cell (iPSCs) lines characterized by GRIK1 rs2832407 genotype (10 A/A and 12 C/C) into forebrain-lineage neural cultures to explore molecular correlates of GRIK1 genotype that may relate to topiramate's ability to reduce drinking. Our differentiation protocol yielded mixed neural cultures enriched for glutamatergic neurons. Characterization of the GRIK1 locus revealed no effect of rs2832407 genotype on GRIK1 isoform mRNA expression, however a significant difference was observed on GRIK1 antisense-2, with higher expression in C/C neural cultures. Differential effects of acute exposure to 5 μM topiramate were observed on the frequency of spontaneous synaptic activity in A/A vs. C/C neurons, with a smaller reduction in excitatory event frequency and a greater reduction in inhibitory event frequency observed in C/C donor neurons.This work highlights the use of iPSC technologies to study pharmacogenetic treatment effects in psychiatric disorders and furthers our understanding of the molecular effects of topiramate exposure in human neural cells.
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