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. 2025 Sep 23;44(9):116217.
doi: 10.1016/j.celrep.2025.116217. Epub 2025 Sep 8.

Cortical versus hippocampal network dysfunction in a human brain assembloid model of epilepsy and intellectual disability

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Cortical versus hippocampal network dysfunction in a human brain assembloid model of epilepsy and intellectual disability

Colin M McCrimmon et al. Cell Rep. .
Free article

Abstract

Neurodevelopmental disorders often impair multiple cognitive domains. For instance, a genetic epilepsy syndrome might cause seizures due to cortical hyperexcitability and present with memory impairments arising from hippocampal dysfunction. This study examines how a single disorder differentially affects distinct brain regions using induced pluripotent stem cell (iPSC)-derived cortical- and hippocampal-ganglionic eminence assembloids to model developmental and epileptic encephalopathy 13, a condition arising from gain-of-function mutations in the SCN8A gene encoding the sodium channel Nav1.6. While cortical assembloids showed network hyperexcitability akin to epileptogenic tissue, hippocampal assembloids did not, and instead displayed network dysregulation patterns similar to in vivo hippocampal recordings from epilepsy patients. Predictive computational modeling, immunohistochemistry, and single-nucleus RNA sequencing revealed changes in excitatory and inhibitory neuron organization that were specific to hippocampal assembloids. These findings highlight the unique impacts of a single pathogenic variant across brain regions and establish hippocampal assembloids as a platform for studying neurodevelopmental disorders.

Keywords: CP: Neuroscience; brain organoids; cellular neuroscience; disease modeling; epilepsy; hippocampal assembloids; neural circuits; neural stem cells.

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Conflict of interest statement

Declaration of interests The authors declare no competing interests.

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