Evidence map›Paper›PMID 41286450›Full record

ArticleNature neuroscience2026

Large-scale drug screening in iPSC-derived motor neurons from sporadic ALS patients identifies a potential combinatorial therapy.

Christopher R Bye, Elizabeth Qian, Katherine Lim, Maciej Daniszewski, Fleur C Garton, Bảo C Trần-Lê, Helena H Liang, Tian Lin, John G Lock, Duncan E Crombie and 20 more

Abstract read
In one paragraph

Article in Nature neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. 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

30 authors.

Christopher R ByeThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia. chris.bye@florey.edu.au.ORCID http://orcid.org/0000-0003-1714-5954
Elizabeth QianThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0009-0008-7323-8112
Katherine LimThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Maciej DaniszewskiCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-3468-4941
Fleur C GartonInstitute for Molecular Bioscience, The University of Queensland, Brisbane, Queensland, Australia.
Bảo C Trần-LêThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Helena H LiangCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Tian LinInstitute for Molecular Bioscience, The University of Queensland, Brisbane, Queensland, Australia.
John G LockSchool of Biomedical Sciences, University of New South Wales, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-3880-4106
Duncan E CrombieThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Steven MorganMelbourne Bioinformatics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0001-6038-6126
Yi HuThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-0913-4270
Samantha K BartonThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0001-7601-0238
Lucy M PalmerThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-3676-657X
Elvan DjoumaDepartment of Microbiology, Anatomy, Physiology and Pharmacology, La Trobe University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-7414-6278
Saritha KodikaraMelbourne Integrative Genomics, School of Mathematics and Statistics, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-7039-8398
Kim-Anh Lê CaoMelbourne Integrative Genomics, School of Mathematics and Statistics, The University of Melbourne, Melbourne, Victoria, Australia.
Thanuja DharmadasaThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Anjali K HendersInstitute for Molecular Bioscience, The University of Queensland, Brisbane, Queensland, Australia.
Laura A ZiserInstitute for Molecular Bioscience, The University of Queensland, Brisbane, Queensland, Australia.
Matthew C KiernanNeuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia.
Kevin TalbotNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-5490-1697
Merrilee NeedhamDepartment of Neurology, Fiona Stanley Hospital, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0001-6591-1444
Susan FletcherCentre for Molecular Medicine and Innovative Therapeutics, Murdoch University, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0002-8632-641X
Paul TalmanNeurosciences Department, University Hospital Geelong, Geelong, Victoria, Australia.ORCID http://orcid.org/0000-0001-9866-9068
Susan MathersCalvary Healthcare Bethlehem Hospital Neuro-Consultancy, South Caulfield, Victoria, Australia.ORCID http://orcid.org/0000-0001-8445-1594
Naomi R WrayInstitute for Molecular Bioscience, The University of Queensland, Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0001-7421-3357
Alex W HewittCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-5123-5999
Alice PebayCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-7408-9453
Bradley J TurnerThe Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Victoria, Australia. bradley.turner@florey.edu.au.ORCID http://orcid.org/0000-0001-6580-7655

Funding

Department of Health | National Health and Medical Research Council (NHMRC) 1137024Department of Health | National Health and Medical Research Council (NHMRC) 2021
6 · The paper itself

Abstract

Heterogeneous and predominantly sporadic neurodegenerative diseases, such as amyotrophic lateral sclerosis (ALS), remain highly challenging to model. Patient-derived induced pluripotent stem cell (iPSC) technologies offer great promise for these diseases; however, large-scale studies demonstrating accelerated neurodegeneration in patients with sporadic disease are limited. Here we generated an iPSC library from 100 patients with sporadic ALS (SALS) and conducted population-wide phenotypic screening. Motor neurons derived from patients with SALS recapitulated key aspects of the disease, including reduced survival, accelerated neurite degeneration correlating with donor survival, transcriptional dysregulation and pharmacological rescue by riluzole. Screening of drugs previously tested in ALS clinical trials revealed that 97% failed to mitigate neurodegeneration, reflecting trial outcomes and validating the SALS model. Combinatorial testing of effective drugs identified baricitinib, memantine and riluzole as a promising therapeutic combination for SALS. These findings demonstrate that patient-derived iPSC models can recapitulate sporadic disease features, paving the way for a new generation of disease modeling and therapeutic discovery in ALS.

Indexed as

Amyotrophic Lateral SclerosisInduced Pluripotent Stem CellsMotor NeuronsNeuroprotective AgentsAgedAzetidinesDrug Evaluation, PreclinicalDrug Therapy, CombinationFemaleHumansMaleMemantineMiddle AgedPurinesPyrazolesRiluzoleAzetidinesMemantineNeuroprotective AgentsPurinesPyrazolesRiluzoleSulfonamides

Identifiers

PMID41286450
PMCPMC12779551

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.