16 17 18 2 SUMMARY 1 2 Down syndrome (DS) is a common neurodevelopmental disorder, and cognitive defects in DS patients 3 may arise form imbalances in excitatory and inhibitory neurotransmission. Understanding the 4 mechanisms underlying such imbalances may provide opportunities for therapeutic intervention. Here, 5 we show that human induced pluripotent stem cells (hiPSCs) derived from DS patients overproduce 6 OLIG2 + ventral forebrain neural progenitors. As a result, DS hiPSC-derived cerebral organoids 7 excessively produce specific subclasses of GABAergic interneurons and cause impaired recognition 8 memory in neuronal chimeric mice. Increased OLIG2 expression in DS cells directly upregulates 9 interneuron lineage-determining transcription factors. shRNA-mediated knockdown of OLIG2 largely 10 reverses abnormal gene expression in early-stage DS neural progenitors, reduces interneuron 11 production in DS organoids and chimeric mouse brains, and improves behavioral deficits in DS 12 chimeric mice. Thus, altered OLIG2 expression may underlie neurodevelopmental abnormalities and 13 cognitive defects in DS patients. 2Down syndrome (DS), caused by human chromosome 21 (HSA21) trisomy, is the leading genetic 3 cause of intellectual disability (Parker et al., 2010). An imbalance in excitatory and inhibitory 4 neurotransmission is one of the underlying causes of cognitive deficit of DS (Fernandez et al., 2007; 5 Haydar and Reeves, 2012; Rissman and Mobley, 2011). The inhibitory GABAergic interneurons in the 6 cerebral cortex are derived from the neuroepithelium of the embryonic ventral forebrain (Butt et al., 7 2005; Kessaris et al., 2006; Marin, 2012; Wonders et al., 2008). Many of these neuroepithelial cells 8 express the HSA21 genes OLIG1 and OLIG2. In mice, both Olig1 and Olig2 are expressed in the 9 embryonic neuroepithelium of the ventral forebrain (Lu et al., 2000; Petryniak et al., 2007). In humans, 10 OLIG2, but not OLIG1, is abundantly expressed in the embryonic ventral forebrain (Jakovcevski and 11 Zecevic, 2005), as opposed to their overlapping expression pattern in mouse embryonic brain. Thus, 12 establishing the role of human OLIG genes, in regulating interneuron production, is critical for 13 understanding the mechanisms underlying cognitive deficit in DS and may help devise novel 14 therapeutic strategies.
15It is highly debatable how the production of GABAergic neurons is altered in DS and how OLIG 16 genes are involved as regulators of GABAergic neuron production under normal and DS disease 17 conditions. First, using mouse models, studies examining the functions of Olig genes in GABAergic 18 neuron production remain inconclusive. Loss-of-function studies showed that only Olig1 repressed the 19 production of GABAergic interneurons (Furusho et al., 2006; Ono et al., 2008; Petryniak et al., 2007; 20 Silbereis et al., 2014). Gain-of-function studies showed that overexpression of Olig2 promoted the 21 production of GABAergic neurons (Liu et al., 2015). However, this finding is confounded by the f...