Evidence map›Paper›PMID 33619909›Full record

ArticleDevelopmental neurobiology2021

STRADA-mutant human cortical organoids model megalencephaly and exhibit delayed neuronal differentiation.

Louis T Dang, Shivanshi Vaid, Grace Lin, Preethi Swaminathan, Jordan Safran, Anna Loughman, Monica Lee, Trevor Glenn, Fernanda Majolo, Peter B Crino and 1 more

Open access · greenAbstract read
In one paragraph

Article in Developmental neurobiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Augmenting and Assaying Nav1.1 Protein Quantity for Dravet Syndrome Therapy.Annals of clinical and translational neurology · 2026
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  11. Modelling human brain development and disease with organoids.Nature reviews. Molecular cell biology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Louis T DangDepartment of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0000-0003-4853-4952
Shivanshi VaidDepartment of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.
Grace LinDepartment of Neurology, Michigan Medicine, Ann Arbor, MI, USA.
Preethi SwaminathanDepartment of Neurology, Michigan Medicine, Ann Arbor, MI, USA.
Jordan SafranDepartment of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.
Anna LoughmanDepartment of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.
Monica LeeDepartment of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.
Trevor GlennDepartment of Neurology, Michigan Medicine, Ann Arbor, MI, USA.
Fernanda MajoloDepartment of Neurology, Michigan Medicine, Ann Arbor, MI, USA.
Peter B CrinoDepartment of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-6232-3740
Jack M ParentDepartment of Neurology, Michigan Medicine, Ann Arbor, MI, USA.ORCID 0000-0002-2972-1528
Michigan Medicine · USUniversity of Maryland, Baltimore · USVA Ann Arbor Healthcare System · US

Funding

The Role of STRADA in Epileptogenesis and Brain MalformationsK08NS109289 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DANG, LOUIS TUONG CHINH · 2018 to 2022
$886k
NINDS NIH HHS K08 NS109289
6 · The paper itself

Abstract

Genetic diseases involving overactivation of the mechanistic target of rapamycin (mTOR) pathway, so-called "mTORopathies," often manifest with malformations of cortical development (MCDs), epilepsy, and cognitive impairment. How mTOR pathway hyperactivation results in abnormal human cortical development is poorly understood. To study the effect of mTOR hyperactivity on early stages of cortical development, we focused on Pretzel Syndrome (polyhydramnios, megalencephaly, symptomatic epilepsy; PMSE syndrome), a rare mTORopathy caused by homozygous germline mutations in the STRADA gene. We developed a human cortical organoid (hCO) model of PMSE and examined morphology and size for the first 2 weeks of organoid growth, and cell type composition at weeks 2, 8, and 12 of differentiation. In the second week, PMSE hCOs enlarged more rapidly than controls and displayed an abnormal Wnt pathway-dependent increase in neural rosette structures. PMSE hCOs also exhibited delayed neurogenesis, decreased subventricular zone progenitors, increased proliferation and cell death, and an abnormal architecture of primary cilia. At week 8, PMSE hCOs had fewer deep layer neurons. By week 12, neurogenesis recovered in PMSE organoids, but they displayed increased outer radial glia, a cell type thought to contribute to the expansion of the human cerebral cortex. Together, these findings suggest that megalencephaly in PMSE arises from the expansion of neural stem cells in early corticogenesis and potentially also from increased outer radial glial at later gestational stages. The delayed neuronal differentiation in PMSE organoids demonstrates the important role the mTOR pathway plays in the maintenance and expansion of the stem cell pool.

Indexed as

EpilepsyMegalencephalyCerebral CortexFemaleHumansNeurogenesisOrganoidsPregnancycerebral organoidscorticogenesisinduced pluripotent stem cellsmechanistic target of rapamycinmegalencephalymTORneurogenesispolyhydramniosPretzel Syndromestem cell modelSTRADAsymptomatic epilepsy

Identifiers

PMID33619909
PMCPMC8364481
OpenAlexW3130800354

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.