Evidence map›Paper›PMID 40346178›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2025

Identifying brain-penetrant small-molecule modulators of human microglia using a cellular model of synaptic pruning.

Liam T McCrea, Rebecca E Batorsky, Joshua J Bowen, Hana Yeh, Jessica M Thanos, Ting Fu, Roy H Perlis, Steven D Sheridan

Abstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Functional genomic profiling of schizophrenia-associated genes reveals key microglial regulators.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
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

8 authors.

Liam T McCrea *Center for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Rebecca E Batorsky *Tufts Institute for Artificial Intelligence, Tufts University, Medford, MA, USA.
Joshua J BowenCenter for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Hana YehCenter for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Jessica M ThanosCenter for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7984-5361
Ting FuCenter for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Roy H PerlisCenter for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. rperlis@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-5862-6757
Steven D SheridanCenter for Genomic Medicine and Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. ssheridan2@mgh.harvard.edu.ORCID http://orcid.org/0000-0003-1045-1158

Funding

Patient-derived Models of Synaptic Pruning in SchizophreniaR01MH120227 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2019 to 2023
$3.1M
Characterization of schizophrenia liability genes in models of human microglial synaptic pruningR01MH131687 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ROY H. Perlis, Steven D Sheridan · 2023 to 2026
$2.4M
NIMH NIH HHS R01 MH120227NIMH NIH HHS R01 MH131687U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH120227U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH131687
6 · The paper itself

Abstract

Microglia dysregulation is implicated across a range of neurodevelopmental and neurodegenerative disorders, making their modulation a promising therapeutic target. Using PBMC-derived induced microglia-like cells (piMGLCs) in a scalable assay, we screened 489 CNS-penetrant compounds for modulation of microglial phagocytosis of human synaptosomes in a validated assay for microglia-mediated synaptic pruning. Compounds from the library that reduced phagocytosis by ≥2 standard deviations across the library without cytotoxicity were validated in secondary screens, with 28 of them further confirmed to reduce phagocytosis by 50% or more. These compounds comprise a wide range of therapeutic classes with different mechanisms of action, including immunosuppressants, kinase inhibitors, antipsychotics, and epigenetic modulators. Image-based morphological measurements were calculated to measure the degree of ramified vs. ameboid morphotypes as an indicator of activation state. Additionally, transcriptomic profiling indicated divergent effects on cell signaling, metabolism, activation, and actin dynamics across confirmed compounds. In particular, multiple CNS-penetrant small molecules with prior FDA approval or demonstration of safety in vivo demonstrated modulatory effects on microglia. For example, identified drugs such as the tyrosine kinase inhibitors lapatinib, alectinib, and lazertinib and the epigenetic modulator vorinostat have been approved for various cancer treatments and are being investigated for other indications; however, they have not been extensively studied in patients for neurodevelopmental and neurodegenerative disorders. These potential disease-modifying agents represent high-priority candidates for repositioning studies in neurodevelopmental, neuroinflammatory, or neurodegenerative disorders.

Indexed as

BrainMicrogliaPhagocytosisSmall Molecule LibrariesCells, CulturedHumansSmall Molecule Libraries

Identifiers

PMID40346178
PMCPMC12339681

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.