Evidence map›Paper›PMID 40888599›Full record

ArticleGlia2026

C9orf72 Repeat Expansion Induces Metabolic Dysfunction in Human iPSC-Derived Microglia and Modulates Glial-Neuronal Crosstalk.

Marika Mearelli, Insa Hirschberg, Christin Weissleder, Carmela Giachino, María José Pérez, Malvina Dubroux, Francesca Provenzano, Mafalda Rizzuti, Linda Ottoboni, Udit Sheth and 3 more

Abstract read
In one paragraph

Article in Glia, 2026. 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. Article
  2. Article
  3. Review
  4. Review
  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

13 authors.

Marika MearelliHertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Insa HirschbergHertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Christin WeisslederMechanisms and Therapy of Genetic Brain Diseases, Institut Imagine INSERM UMR1163, Paris, France.ORCID 0000-0001-8858-9590
Carmela GiachinoMechanisms and Therapy of Genetic Brain Diseases, Institut Imagine INSERM UMR1163, Paris, France.
María José PérezMechanisms and Therapy of Genetic Brain Diseases, Institut Imagine INSERM UMR1163, Paris, France.
Malvina DubrouxMechanisms and Therapy of Genetic Brain Diseases, Institut Imagine INSERM UMR1163, Paris, France.
Francesca ProvenzanoHertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Mafalda RizzutiNeurology Unit, Foundation IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Linda OttoboniDino Ferrari Centre, Department of Pathophysiology and Transplantation (DEPT), Università Degli Studi di Milano, Milano, Italy.
Udit ShethDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0003-4360-7892
Tania F GendronDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Stefania CortiNeurology Unit, Foundation IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Michela DeleidiHertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.ORCID 0000-0003-0357-0124

Funding

Deutsche Forschungsgemeinschaft 490761034E-Rare3 INTEGRALS 01GM1913EU Joint Programme - Neurodegenerative Disease Research 01ED2005BEuropean Research Council 101003329
6 · The paper itself

Abstract

The C9orf72 hexanucleotide repeat expansion mutation is the most common genetic cause of amyotrophic lateral sclerosis (ALS) and frontotemporal dementia, but its cell type-specific effects on energy metabolism and immune pathways remain poorly understood. Using induced pluripotent stem cell (iPSC)-derived motor neurons, astrocytes, and microglia from C9orf72 patients and their isogenic controls, we investigated metabolic changes at the single-cell level under basal and inflammatory conditions. Our results showed that microglia are particularly susceptible to metabolic disturbances. While C9orf72 motor neurons exhibited impaired mitochondrial respiration and reduced ATP production, C9orf72 microglia presented pronounced increases in glycolytic activity and oxidative stress, accompanied by the upregulation of the expression of key metabolic enzymes. These metabolic changes in microglia were exacerbated by inflammatory stimuli. To investigate how these changes affect the broader cellular environment, we developed a human iPSC-derived triculture system comprising motor neurons, astrocytes, and microglia. This model revealed increased metabolic activity in all cell types and highlighted that microglia-driven metabolic reprogramming in astrocytes contributes to the vulnerability of motor neurons under inflammatory conditions. Our findings highlight the central role of microglia in driving metabolic dysregulation and intercellular crosstalk in ALS pathogenesis and suggest that targeting metabolic pathways in immune cells may provide new therapeutic avenues.

Indexed as

C9orf72 ProteinCell CommunicationDNA Repeat ExpansionInduced Pluripotent Stem CellsMicrogliaMotor NeuronsAmyotrophic Lateral SclerosisAstrocytesCells, CulturedHumansOxidative StressC9orf72 ProteinC9orf72 protein, humanamyotrophic lateral sclerosis/frontotemporal dementiaC9orf72glial‐neuronal communicationimmune systeminduced pluripotent stem cellsmicroglia

Identifiers

PMID40888599
PMCPMC12667002

What OpenQuestion holds

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Registered trials

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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.