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ARUK 2026 A human iPSC platform for studying pathogenic protein aggregation in neurodegeneration

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A human iPSC platform for studying pathogenic protein aggregation in neurodegeneration Eve Corrie1, Anna-Lena Zepernick1, Matthieu Trigano1, and Emma V. Jones1 1Medicines Discovery Catapult, Block 35, Alderley Park, Cheshire, SK10 4ZF, UK

Pathogenic misfolded protein

Introduction

Protein misfolding, phosphorylation, and aggregation are central features of many neurodegenerative diseases These pathogenic proteins can seed further misfolding and propagate pathology across anatomically connected brain regions Native protein These processes contribute to cellular dysfunction and death, and are increasingly being targeted by novel therapeutics in the drug discovery landscape MDC has developed human in vitro systems to study the pathology of α-synuclein and tau in iPSC-derived cortical neurons in 96- and 384-well format Native protein using high content imaging assays and analysis pipelines

Live imaging of tau aggregation using lentiviral systems

0N4R-EGFP tau 2 weeks post-PFF No PFF control

• Wildtype neurons were transduced with a lentivirus to express a full-length 4R tau isoform with a familial frontotemporal dementia P301L mutation labelled with EGFP • Neurons were then exposed to recombinant tau preformed fibrils (PFFs) and imaged

3μg/ml K18 (P301L) PFFs

30μg/ml 2N4R PFFs

800

200

0

K18 FRET biosensor system 2 weeks post-PFF No PFF control

3μg/ml K18 (P301L) PFFs

Area of NFRET signal of K18 (P301L) fragments

30μg/ml 2N4R PFFs

10000

0 days 3 days

8000

7 days

6000

• Neurons were transduced with lentiviruses 4000 to express 4R microtubule binding domain 2000 (K18) fragments with P301L mutation 0 labelled with EYFP or Cerulean • When aggregation occurs, the fluorophores become close enough for FRET to occur • Increasing over time, PFF exposure induced areas of bright EGFP-positive aggregates of full-length tau, and • The transduced neurons were then aggregation of the K18 fragment FRET pair as seen by positive normalised FRET (NFRET) signal exposed to tau PFFs and FRET imaging • K18 PFFs with P301L mutation induced aggregation more readily than full length 2N4R PFFs in both systems performed

Phosphorylation and aggregation of native α-synuclein

14 days

WT/WT

pS129 α-synuclein NeuN

SNCA A53T/A53T

2 weeks

3 weeks

20

20

%pS129 positive

2 weeks post-PFF

15 10

8.8

5 0.9

1.6

1.5

0

15 10 5

2.8

2.2

0.7

PRKN R275W/R275W

SNCA A53T/A53T

WT/WT

0

-PFFs

• Isogenic control and early onset Parkinson’s disease SNCA A53T mutation neurons were exposed to α-synuclein PFFs with A53T mutation 3 weeks • Neurons were fixed and labelled for α-synuclein post-PFF phosphorylated at serine 129 (pS129) • PFF treated neurons show Lewy body-like perinuclear aggregates of pS129 α-synuclein

%pS129 positive

16.9

PRKN R275W/R275W

pS129 α-synuclein β-tubulin

Immunocytochemistry of phospho-S129 α-synuclein

SNCA A53T/A53T

NFRET

14 days

WT/WT

FRET

7 days

0. 3μ g/ m 1 μ l K1 - PF F g/ 8 m (P s 3μ l K1 301 g/ L) 8 m (P lK 3 18 01L ) (P 30 1μ 1L g/ m ) 3μ l 2N g/ 4R m l2 10 N μg /m 4R l 30 μg 2 N4 /m R l2 N 4R

K18 (P301L) Cerulean

3 days

400

Overexpressed K18 tau fragment FRET biosensor system K18 (P301L) EYFP

0 days

600

-PFFs

0N4R (P301L) Tau-EGFP MAP2

Area of aggregated GFP-0N4R (P301L) Tau

NFRET area (μm2/well)

Overexpressed full-length 0N4R-EGFP tau

Hyperphosphorylated protein aggregate

0. Aggregated tau area (μm2/well) 3μ g/ m -P 1μ l K FF 1 g/ 8 m (P s l 3 K 3μ 18 01L g/ ) m ( l K P30 1L 18 ) (P 30 1μ 1L g/ m ) 3μ l 2N g/ 4R m l 10 μg 2 N4 /m R 30 l2 N μg /m 4R l2 N 4R

• • • •

Dysfunction, toxicity and cell death

+PFFs

+PFFs

• A53T mutation increases the proportion of pS129 positive neurons after PFF exposure

Inter-neuronal seeding of α-synuclein pathology in microfluidics devices

15 10

8.9

5 0

High content imaging of human iPSC-derived neurons provides a platform to model the pathological seeded aggregation and phosphorylation of neurodegenerative proteins like tau and α-synuclein The ability to induce and detect disease-relevant protein aggregation using human-relevant assays early in the discovery pipeline makes this system a valuable tool for therapeutic developers targeting protein misfolding, phosphorylation, and propagation In vitro assays quantifying tau and α-synuclein aggregation following disease-relevant PFF exposure enable sensitive, reproducible measurement of seeded pathology and support evaluation of mechanism-modifying interventions

SNCA A53T/A53T

WT/WT

A53T/A53T

Conclusions

17.5

0

Live neuron dye

20

Donor

1.1

SNCA A53T/A53T

pS129 α-synuclein NeuN

Projection of neurites through microchannels at 2 weeks

Immunocytochemistry of phospho-S129 α-synuclein

WT/WT

WT/WT

Acceptor chamber – seeded PFFs

%pS129 positive

• Isogenic control or SNCA A53T “Donor” “Acceptor” mutation neurons were plated in both chambers of a microfluidics device then cultured to allow the neurons to connect via the microchannels • PFFs were added to the donor eNuvio Omega4 device chamber only before fixing and labelling for pS129 α-synuclein • pS129 positive neurons were detected in donor chambers due to directly applied PFFs and acceptor chambers due to seeded PFFs, though automated analysis failed to detect the small proportion of positive wildtype neurons in acceptor chambers

Donor chamber – PFFs directly applied

Acceptor

• A53T mutation increases pS129 pathology in both donor and acceptor chambers


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