Gene ontology analyses of high-confidence autism spectrum disorder (ASD) risk genes highlight chromatin regulation and synaptic function as major contributors to pathobiology. Our recent functional work in vivo has additionally implicated tubulin biology and cellular proliferation. As many chromatin regulators, including ASD risk genes ADNP and CHD3, are known to directly regulate both tubulins and histones, we studied the five chromatin regulators most strongly associated with ASD (ADNP, CHD8, CHD2, POGZ, and KMT5B) specifically with respect to tubulin biology. We observe that all five localize to microtubules of the mitotic spindle in vitro and in vivo. Investigation of CHD2 provides evidence that patient-derived mutations cause a range of microtubule-related phenotypes, including disrupted localization of the protein at mitotic spindles, cell cycle stalling, DNA damage, and cell death. Lastly, we observe that ASD genetic risk is significantly enriched among tubulin-associated proteins, suggesting broader relevance. Together, these results provide additional evidence that the role of tubulin biology and cellular proliferation in ASD warrants further investigation and highlight the pitfalls of relying solely on annotated gene functions in the search for pathological mechanisms.

Extremely preterm born individuals at < 28 postconceptional weeks (PCW) are at high risk for encephalopathy of prematurity and life-long neuropsychiatric conditions. Clinical studies and animal models of preterm brain injury suggest that encephalopathy of prematurity is strongly associated with exposure to hypoxia and/or inflammation in the perinatal period. Histologic examination of postmortem brain tissue from children born preterm demonstrates decreased numbers of cortical GABA-ergic interneurons in the cerebral cortex. However, the cellular and molecular mechanisms underlying the decreased numbers of GABA-ergic interneurons in the cerebral cortex of extremely preterm individuals remain unclear. Here, we developed a dual, complementary human cellular model to study hypoxia-induced interneuronopathies using human forebrain assembloids (hFA) derived from human induced pluripotent stem cells (hiPSCs) and ex vivo human prenatal cerebral cortex at mid-gestation. The hFA are generated through the integration of region-specific neural organoids containing either dorsal forebrain (excitatory) glutamatergic neurons or ventral forebrain (inhibitory) GABA-ergic interneurons. We discover a substantial reduction in migration of cortical interneurons during exposure to hypoxic stress in both hFA and ex vivo human prenatal cerebral cortex. Next, we identify that this migration defect is restored by supplementation of hypoxic cell culture media with exogenous adrenomedullin (ADM), a peptide hormone member of the calcitonin gene related peptide (CGRP) family. Lastly, we demonstrate that the rescue is mediated through increased activity of the PKA molecular pathway and increased pCREB-dependent expression of GABA receptors. Overall, these findings provide important insights into the cellular mechanisms possibly contributing to cortical interneuron depletion in preterm infants, and pinpoint novel therapeutic molecular pathways with translational potential for hypoxic encephalopathy of prematurity.

Gene ontology analyses of high confidence autism spectrum disorder (hcASD) risk genes have historically highlighted chromatin regulation and synaptic function as major contributors to pathobiology. Our recent functional work in vivo has additionally implicated microtubule biology and identified disrupted cellular proliferation as a convergent ASD phenotype. As many chromatin regulators, including ASD risk genes ADNP and CHD3, are known to directly regulate both tubulins and histones, we studied the five chromatin regulators most strongly associated with ASD (ADNP, CHD8, CHD2, POGZ, and SUV420H1/KMT5B) specifically with respect to microtubule biology. We observe that all five localize to microtubules of the mitotic spindle in vitro and in vivo. Further in-depth investigation of CHD2 provides evidence that patient-derived mutations lead to a range of microtubule-related phenotypes, including disrupted localization of the protein at the mitotic spindle, spindle defects, cell cycle stalling, DNA damage, and cell death. Lastly, we observe that ASD genetic risk is significantly enriched among microtubule-associated proteins, suggesting broader relevance. Together, these results provide further evidence that the role of tubulin biology and cellular proliferation in ASD warrant further investigation and highlight the pitfalls of relying solely on annotated gene functions in the search for pathological mechanisms.

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Background: Despite calls to increase diversity in the health care workforce, most medical fields including neurology have seen minimal advances, owing in part to the lack of developing a robust pipeline for trainees from underrepresented backgrounds. We sought to create an immersive, replicable neurology-themed summer camp and longitudinal mentorship program for underrepresented-in-medicine (URM) high-school students to encourage them to enter the training pipeline in neuroscience-related fields. Methods: We established an annual, no-cost 1-week camp for local URM students with the goals of exposing them to different health care professions within neuroscience while providing them with college application resources and long-term mentorship. A postprogram survey was distributed to assess the students’ attitudes towards the camp and their desires to pursue health care careers. Results: Over the 4 years since the founding of the camp (2016-2020), a total of 96 students participated, of whom 53% were URM, 74% came from very low-income households, and 61% had parents who did not attend college. In total, 87 students (91%) completed the postcamp survey. Nearly all (97%) of the respondents were likely to recommend the camp to their peers, and the vast majority (85%) felt that Brain Camp made them more likely to pursue careers in health care. Conclusions: Brain Camp seeks to address the unmet need for low barrier-to-entry programs designed for URM high-school students interested in health care careers. We envision that our camp may serve as a blueprint for other similar programs across the nation with the goal of addressing the URM pipeline in neuroscience.