ヒト脳組織の小さな球体が小児てんかんの原因と治療法を明らかに(How tiny balls of human brain tissue are revealing the causes of childhood epilepsy — and possible treatments)

ad

2026-09-23 カリフォルニア大学バークレー校(UCB)

UCバークレーの研究チームは、ヒト幹細胞から作製した脳オルガノイド(3次元脳組織モデル)を用いて、小児期発症てんかんの主要な遺伝性疾患の一つである結節性硬化症(TSC)の病態を解析した。TSC1・TSC2遺伝子の変異を導入したオルガノイドを長期間培養した結果、神経細胞だけでなく、グリア細胞の一種であるアストロサイトが早期から過反応性を示し、炎症を引き起こして発作の主要因となる可能性が明らかになった。さらに、単一細胞トランスクリプトーム解析によって異常アストロサイトの遺伝子発現を調べ、患者から摘出した病変組織でも類似の分子特性を確認した。アストロサイトの過剰な反応を抑制する薬剤によって発作を軽減できる可能性も示され、従来の神経細胞中心の病態理解に加え、グリア細胞を標的とした治療法開発につながる成果となった。

ヒト脳組織の小さな球体が小児てんかんの原因と治療法を明らかに(How tiny balls of human brain tissue are revealing the causes of childhood epilepsy — and possible treatments)
An 89-day-old, human-derived brain organoid (close-up at right) with normal cells stained blue and mutated cells stained red. Helen Bateup/UC Berkeley

<関連情報>

mTORC1は結節性硬化症における細胞自律的なアストロサイト反応を促進する mTORC1 drives cell-autonomous astrocyte reactivity in tuberous sclerosis

Thomas L. Li, John D. Blair, Taesun Yoo, Gerald A. Grant, Dirk Hockemeyer, Brenda E. Porter & Helen S. Bateup
Nature  Published:23 September 2026
DOI:https://doi.org/10.1038/s41586-026-11054-w

Abstract

Tuberous sclerosis complex (TSC) is a genetic neurodevelopmental disorder characterized by focal brain malformations called cortical tubers, which are associated with severe, intractable epilepsy1. Tubers are thought to result from somatic second-hit mutations that disrupt the TSC1 or TSC2 genes in neural progenitor cells, driving hyperactive mTORC1 signalling2. Glial abnormalities are commonly observed in tubers3; however, whether glia actively cause disease or merely result from chronic seizure activity has remained unclear. To address this question, we used human brain organoid models to track the developmental fate of mutated progenitor cells in the absence of seizures. Here we show, using single-cell transcriptomics and cyclic immunostaining across human brain organoids and resected tuber tissue from patients, that loss of TSC2 biases neural progenitors to differentiate into enlarged, pro-inflammatory reactive astrocytes in a cell autonomous manner. These mutant astrocytes show downregulated glutamate transporter expression, increased inflammatory cytokine secretion and elevated expression of neurodegenerative disease risk genes such as APOE and CLU. Our findings demonstrate that reactive astrocytes emerge as a primary consequence of TSC2 loss. These results implicate glial dysfunction as a driver of TSC pathogenesis and highlight reactive astrocytes as potential therapeutic targets for TSC-related neuropathology.

医療・健康
ad
ad
Follow
ad
タイトルとURLをコピーしました