Screening Platforms for Genetic Epilepsies-Zebrafish, iPSC-Derived Neurons, and Organoids

Neurotherapeutics. 2021 Jul;18(3):1478-1489. doi: 10.1007/s13311-021-01115-5. Epub 2021 Sep 30.

Abstract

Recent advances in molecular and cellular engineering, such as human cell reprogramming, genome editing, and patient-specific organoids, have provided unprecedented opportunities for investigating human disorders in both animals and human-based models at an improved pace and precision. This progress will inevitably lead to the development of innovative drug-screening platforms and new patient-specific therapeutics. In this review, we discuss recent advances that have been made using zebrafish and human-induced pluripotent stem cell (iPSC)-derived neurons and organoids for modeling genetic epilepsies. We also provide our prospective on how these models can potentially be combined to build new screening platforms for antiseizure and antiepileptogenic drug discovery that harness the robustness and tractability of zebrafish models as well as the patient-specific genetics and biology of iPSC-derived neurons and organoids.

Keywords: Developmental and epileptic encephalopathy (DEE); Drug discovery; Epilepsy; Organoids; Stem cells; Zebrafish; iPSC.

Publication types

  • Review

MeSH terms

  • Animals
  • Anticonvulsants / pharmacology
  • Anticonvulsants / therapeutic use*
  • Disease Models, Animal*
  • Drug Evaluation, Preclinical / methods*
  • Epilepsy / diagnosis
  • Epilepsy / drug therapy
  • Epilepsy / genetics*
  • Humans
  • Induced Pluripotent Stem Cells / drug effects
  • Induced Pluripotent Stem Cells / physiology*
  • Neurons / drug effects
  • Neurons / physiology
  • Organoids / drug effects
  • Organoids / physiology*
  • Zebrafish

Substances

  • Anticonvulsants