Categories: Tool Time

iPS: ready, set, screen?

clock August 31, 2012


Take two. Scientists recreate stem cells in the lab by turning back the clock in skin cells (fibroblasts) obtained by skin biopsy. These reprogrammed cells are referred to as induced pluripotent stem (iPS) cells. Video: Genetics Policy Institute.

Researchers are working hard to discover and develop medicines for ALS.  But with four drugs dropping out of the pipeline at phase II or III in the last nine months alone, a growing number of scientists are thinking outside of the model box in hopes to identify more effective medicines for the disease.

One emerging strategy is to use stem cell-based reprogramming technologies to develop cellular models of ALS.  Motor neurons are recreated from skin cells obtained from people with ALS and healthy controls. Then, these cells are characterized and compared in hopes to identify differences called “phenotypes” that resemble key aspects of the disease. 

The idea: to identify potential ALS medicines, cook up diseased motor neurons in the laboratory and then screen for drugs that remedy them.

“It has been a little frustrating that there have been a number of therapies that have been discovered in preclinical models of disease that haven’t had a demonstrable effect in clinical trials,” says University of California San Francisco (UCSF) neurologist Steven Finkbeiner MD PhD. “By using human neurons, particularly ones from patients with disease, perhaps we will have a model that will give us more relevant insights into the disease that can also be useful for finding small molecules that could have a therapeutic effect.”

Now, researchers from Kyoto University in Japan report the development of an induced pluripotent stem (iPS) cell-based screening platform that could be used to discover potential medicines for ALS.

The results come at the heels of a previous US UK study in which scientists including Steven Finkbeiner MD PhD demonstrated that motor neurons could be recreated in the laboratory that exhibited tell-tale signs of the disease.

Together, these studies pave the way toward the use of patient-derived iPS cell lines as a tool to discover new drugs for ALS.

“[We] hope these phenotypes could be a target to screen,” Kyoto University neuroscientist Haruhisa Inoue MD PhD leader of the study, writes ALS Today. ”We feel further scientific progress/technical advances [however] would be required.”


ALS in a dish. Researchers recreated motor neurons from people with an inherited form of ALS linked to a mutation in the transcription factor TDP-43. Image: Emw, Wikimedia Commons.

The findings are published this month in Science Translational Medicine.

The Kyoto University-based team created iPS cell lines from three ALS patients and seven healthy people and pushed them into motor neuron mode.

The researchers found that motor neurons generated from people with ALS appeared to be similar to those in the throws of the disease.  The motor neurons accumulated clumps of TDP-43 protein in their cytoplasm. And, the nerve-like cells appeared to be more vulnerable to oxidative stress.

The team then treated motor neurons with four chemicals to assess their potential usefulness in identifying drugs for ALS. The team found that treatment with one chemical, anacardic acid, dropped levels of TDP-43 – largely in the cytoplasm – by nearly 150 fold.

The findings, together, suggest that this so-called screening platform could be potentially used to discover new drugs for the disease.

It pays to be the same

Key challenges however must be addressed before iPS-based screens can become routine 'drug discovery' practice.  Motor neurons can take up to 2 months to create in the laboratory.  What's more, iPS-based screens can be expensive: nearly three to five times that of conventional mouse screens according to Steven Finkbeiner MD PhD.  But the biggest challenge drug discoverers and developers face is variability. 

Researchers remain unsure how big a screening platform is needed to truly capture the heterogeneity of the disease.  How many people with ALS need to be recruited?  How many cell lines ultimately need to be screened particularly in regards to identifying medicines for sporadic disease? 


Motor neurons reborn Scientists recreate motor neurons from people with ALS by pushing iPS cells into motor neuron mode. Here, healthy mouse motor neurons are generated. Video: SBI Biosystems.

Scientists around the world are working hard to create batteries of iPS cell lines from people with ALS in hopes to identify key cell lines that represent subsets of disease and at the same time, to control for differences in genetic backgrounds.

Furthermore, scientists remain unsure which iPS cell lines generate motor neurons that resemble those in each individual case of ALS. iPS cell lines originating from the same person with ALS can differ due to differences in degrees of reprogramming or other changes that occur due to culture conditions.

To meet the so-called clonal variability challenge, UCSF researchers are developing single iPS cell-based assays that can be used to measure benefits of potential ALS medicines in individual motor neurons over time. “We are kind of treating the cells like patients.  Each cell serves as its own control,” explains Steven Finkbeiner MD PhD.  “That seems to have helped quite a bit with variability.”

Meanwhile, the Kyoto University-based team, according to Harushisa Inoue MD PhD, is working hard to create better methods to create more consistent iPS cells that produce sufficient motor neurons for screening purposes.

Looking ahead, scientists anticipate that these strategies may not only help identify new potential medicines but in addition help identify those people with ALS that are likely to benefit from them - including those with sporadic disease.

“Without being able to pinpoint a genetic mutation, we may nevertheless be able to identify, sub-divide patients based on their cell physiology to drive the choice of medicines,” says Steven Finkbeiner MD PhD. “Instead of measuring blood pressure, we may be measuring protein homeostasis or some other internal pathway that may be a common thread in these diseases.”

To find out more about how scientists hope to use stem cells to better understand why motor neurons degenerate in people with ALS, read ALS motor neurons made easy?.  To learn more about the challenges bringing stem cell-based treatment strategies into the clinic, check out Neuralstem: surging immunosuppression? and Operation Neuroprotection.


Egawa, N. et al. (2012) Drug screening for ALS using patient-specific induced pluripotent stem cells. Science Translational Medicine 4(145), 1-8Abstract Full Text (Subscription Required)

Bilican, B. et al. (2012) Mutant induced pluripotent stem cell lines recapitulate aspects of TDP-43 proteinopathies and reveal cell-specific vulnerability. Proceedings of the National Academy of Sciences, doi:10.1073/ pnas.1202922109. Abstract Full Text (Open Access)

Further Reading

Son, E.Y., Ichida, J.K., Wainger, B.J., Toma, J.S., Rafuse, V.F., Woolf, C.J. and Eggan, K. (2011). Conversion of mouse and human fibroblasts into functional spinal motor neurons. Cell Stem Cell, 9(3), 205-218. Abstract Full Text 

Dimos, J.T. et al. (2008) Induced pluripotent stem cells generated from patients with ALS can be differentiated into motor neurons. Science 321, 1218-1221. Abstract Full Text (Subscription Required)

Find this useful?
Help us fund more science:

Share this page:

Categories: Tool Time

ALS, Off The Beaten Track

clock February 21, 2012


Power Up.  Energy (ATP) is produced in mitochondria by enzymes called ATP synthetases embedded in the inner membrane. In this animation, travel to the inner membrane and see ATP (glowing orange) being made and spent, forming ADP (dull yellow).  Be sure to take a look at all the proteins on the way. Video: XVIVO for Harvard University.

Mitochondria produce the energy needed to keep muscles healthy and moving. But in people with ALS, these power plants go out of service likely contributing to muscle atrophy and ultimately, paralysis.

Scientists are developing treatments to supe up mitochondria in hopes to keep the energy flowing in the muscles and connecting nerves. One of these emerging medicines, Knopp Biosciences’ dexpramipexole now licensed by Biogen Idec, is gathering steam as a potential ALS treatment strategy. Reporting phase II results last fall, neurologists found that the drug slowed disease progression about 30%.

Some researchers suspect however, that these mitochondrial-targeted medicines may need to do much more than boost energy production to grind ALS to a halt. Even operating at full steam, these power plants may be unable to provide enough energy to keep muscles working because they may not be in the right place to do their job. Scientists are now beginning to understand why these mitochondria might stray, suggesting new strategies to tackle the disease.

Traffic Tie-up

When Massachusetts General Hospital researchers reported the first altered gene, superoxide dismutase 1 (SOD1), linked to ALS in 1993, researchers scrambled to generate and characterize mice with these same mutations in hopes to discover the cause of the disease.

Reporting the first mouse model in 1994, scientists quickly put their finger on a potential contributor to the disease: a power outage in the motor nerves. Researchers, led by Northwestern University School of Medicine neuroscientist Mark Gurney MD, now at Michigan’s Tetra Discovery Partners, reported that the mitochondria swelled up in the motor neurons of SOD mice before showing any signs of ALS suggesting that malfunctions in these intracellular power plants might, in part, lead to the disease.

“But whether [defective] mitochondria were driving the pathology of ALS, that was a question mark,” explains Johns Hopkins University School of Medicine neuroscientist Lee Martin PhD.

In 2004, University of California San Diego researchers led by neuroscientist Don Cleveland PhD found that these misshapen mitochondria appeared at the nerve terminals at about the same time as the muscles became unplugged.


Mutant SOD1

Tracking Numbers.  Researchers tracked the deliveries of mitochondria in healthy and mutant SOD1  cultured spinal cord motor neurons. Courtesy of Jordi Magrané, Weill Cornell Medical College. All Rights Reserved.

University of California San Diego neuroscientist Christine Vande Velde PhD, now at the University of Montreal, however suspected that more than the breakdown of these power plants could be contributing to ALS. She noticed that these swollen mitochondria accumulate at the neuromuscular junctions in these mice as the disease progressed suggesting that these power plants were unable to travel back towards the cell body to be refurbished or recycled. This so-called retrograde transport of mitochondria is critical to meet energy demands in power-guzzling regions of the motor nerves including the nerve terminals where electric signals are transmitted across the neuromuscular junction which ‘tell’ the muscles to move. If these signaling systems are on the fritz, this too could contribute to muscle weakness and paralysis.

To try and determine whether this impaired mitochondrial dynamics could also be contributing to ALS, Jordi Magrané  PhD and Giovanni Manfredi PhD at Weill Cornell Medical College in New York introduced a system in the late 2000s in which they could fluorescently tag these intracellular power plants in cultured ALS SOD1 mouse spinal cord motor neurons in laboratory dishes and watch them move live in real time under a microscope.

Reporting just last month, the team found that mitochondrial trafficking is indeed affected in the SOD1 mutant motor neurons of the spinal cord. The number of mitochondria that undergo fusion – critical to keep these intracellular power plants in working order – dropped over 50%. And, the movement of mitochondria slowed to a crawl. (Check out the video.) 

Incredibly, the Weill Cornell team found that newly generated power plants constructed in the cell body are already operating at reduced capacity and accumulate at the so-called distal end of the axon, near the nerve terminal. And, the number of mitochondria appear to be reduced at synapse-like structures. These defects appear to be specific to motor neurons. 

“This could be happening in ALS,” says Magrané. 

These findings come at the heels of a study from Vande Velde’s team last summer in which they discovered that mitochondria pile-up in the spinal cord in mutant SOD1 mice during the disease course. 

mitochondria trafficking dynamics ALS


Special delivery.  Mitochondria are pushed down the axons of motor neurons by kinesins along train tracks made of microtubules. The energy these intracellular power plants generate fuels the delivery of electrical signals that ‘tell’ the muscles to move. Adapted from Tsai, M. et al. Molecular Biology of the Cell (2000) 11(6), 2161-2173.

Now, the Weill Cornell team is using the same tools to monitor these intracellular power plants in living ALS mice to determine whether mitochondrial dynamics is indeed defective and contributes to denervation. Looking ahead, the researchers hope to take a look at other mouse models of ALS to determine whether these multi-mitochondrial pile-ups generally contribute to the disease. 

Tracking down the culprit

What causes the transport and recycling machinery to fail in ALS? Researchers remain unsure. One possibility is that the SOD1 enzyme which accumulates during the course of the disease could jam up the works. Reporting last summer, Vande Velde’s team found that these misfolded proteins stick to the surfaces of mitochondria in the spinal cord of ALS mice. This could make these intracellular power plants more difficult to pick up by motor proteins, the neurons’ delivery vehicles, and therefore more difficult to transport.

But new findings from the labs of Hugo Bellen PhD at the Baylor College of Medicine in Texas and Michael Miller PhD at the University of Alabama at Birmingham suggest that there could be an even bigger problem. The systems that keep these power plants upon delivery fixed in position and in tip-top condition could also be out to lunch. 

Reporting last month, the Bellen-Miller team discovered that the putative hormone VAP-B produced by neurons fine-tunes the positions of mitochondria and regulates the energy production in muscles. A hormone that is lacking in all people with ALS tested including those with the sporadic form of the disease.

The Electric Slide

Scientists first stumbled upon a link between VAP-B and ALS in 2004 when geneticist Mayana Zatz PhD and colleagues at São Paulo University in Brazil reported that a mutation in the gene, also known as ALS8, triggered the disease. Reporting in 2008, the Bellen-Miller team discovered that VAP-B appears to be a hormone and that this mutation blocked its secretion. But why a drop in VAP-B levels resulted in ALS remained unclear. 

mitochondria skeletal muscle NIH


Power punch.  Muscles are packed with mitochondria (arrows) to generate the energy needed for contraction. Here, a section of skeletal muscle is shown. Image: NHBLI, NIH.

To try and get a better idea of why a lack of VAP-B could contribute to ALS, Bellen’s team at Baylor College of Medicine generated fruit flies unable to produce the hormone and watched them develop. The researchers found that very few of these flies survived but the few that did could barely move. Taking a closer look at their muscles, the Bellen team quickly identified the problem. Most of the mitochondria appeared to be broken down. Their muscles just simply did not have enough fuel. 

But, these studies were extremely difficult to do. Too few flies survived for more detailed analysis. So, the researchers turned to Miller’s team at the University of Alabama who were studying the loss of VAP-B in the roundworm. The researchers also noticed that the mitochondria appeared to be malfunctioning. But they also noticed something else. The mitochondria were displaced from the muscle fibers. And, by watching the worms crawl under the microscope, the researchers found out why: these intracellular power plants were not fixed into place. 

VAP-B, however, appears to do a lot more than make sure that mitochondria are next to muscle fibers ready to rock and roll. The hormone appears to regulate the maintenance (fusion) of these power plants and even the amount of fuel produced. Without VAP-B, the mitochondria in these worms’ muscles were operating at as low as 50% capacity. 

”The muscles suffer due to a lack of energy,” explains Bellen. “They produce lactic acid. If you do that chronically, your muscles start to waste.” 

Bellen suspects however, that the loss of this potentially critical hormone could be responsible for a lot more than muscle atrophy in people with ALS. Without mitochondria in the right places in the muscle, calcium that gets generated during movement can build up triggering twitching. And, the drop of a critical protein produced by muscles according to studies in fruit flies could lead to synaptic die-back.

Actin Up

ALS neuromuscular junction mitochondria


Junction box.  Researchers discovered that VAP-B regulates signalling mechanisms which during development, help plug nerves into the right muscles. The team suspects that VAP-B helps enable the movement of these muscles (2) by stabilizing mitochondria (5) at the nerve terminal (1). Image: Wikimedia Commons.

Now, the researchers are looking to see whether a drop in VAP-B levels also results in reduced energy production in motor neurons and a loss of mitochondria from the nerve terminals.

VAP-B appears to be in the right place at the right time to control mitochondrial dynamics in the motor nerves.  The hormone binds to receptors that are also present on the surface of adult nerve cells including motor neurons.

Furthermore, VAP-B appears to be able to do the job.  The hormone controls the position of mitochondria in muscles according to the Bellen-Miller team's findings by regulating the length of the actin-based filaments that anchor them on muscle fibers.  The same kinds of cytoskeletal fibers that are also present at nerve terminals.

“Microtubules form the freeway along which the mitochondria travel to the synapse.   But once they reach the synapse,” explains Bellen,” they need to transfer to another transport system.”

And, that transport system could be controlled by VAP-B.  VAP-B based signaling machanisms could stabilize these intracellular power plants at the nerve terminals – ensuring our muscles have the ability to move.

Looking ahead, the Bellen-Milller team hopes to figure out what triggers the release of VAP-B.  By identifying these regulatory signals, researchers may be able to boost the production of the hormone in people with ALS and in so doing, slow down the disease.

But there may be no need to wait that long.  VAP-B, in its secreted form, might be able to be administered directly to help keep the energy flowing in people with ALS. 

“Maybe there is some therapeutic potential here,” says Miller. “But it is early days.”


Han, S.M, Tsuda, H., Yang, Y., Vibbert, J., Cottee, P., Lee, S.J., Winek, J., Haueter, C., Bellen, H.J., Miller, M.A. (2012) Secreted Vap8/als8 major sperm protein domains modulate mitochondrial localization and morphology via growth cone guidance receptors.  Developmental Cell 22, 1-15. Abstract Full Text  (Subscription Required)

Magrane, J., Sahawneh, M.A., Przedborski, S., Estevez, A.G. and Manfredi, G. (2012) Mitochondrial dynamics and bioenergetics dysfunction is associated with synaptic alterations in mutant SOD1 motor neurons.  Journal of Neuroscience 32(1), 229-242.  Abstract Full Text  (Subscription Required)

Cudkowicz, M., et al. (2011)  The effects of dexpramipexole (KNS-760704) in individuals with amyotrophic lateral sclerosis. Nature Medicine 17(12), 1652-1656.  AbstractFull Text (Subscription Required)

Vande Velde, C, Garcia, M.L., Yin, X., Trapp, B.D. and Cleveland, D.W. (2004)  The neuroprotective factor Wlds does not attenuate mutant SOD1-mediated motor neuron disease.  NeuroMolecular Medicine 5(3), 193-203. AbstractFull Text (Subscription Required)

Magrané, J., Hervias, I., Henning, M.S., Damiano, M., Kawamata, H., and Manfredi G. (2009) Mutant SOD1 in neuronal mitochondria causes toxicity and mitochondrial dynamics abnormalities.  Human Molecular Genetics 18(23), 4552-4564. AbstractFull Text

Vande Velde, C., McDonald, K.K., Boukhedimi, Y., McAlonis-Downes, M., Lobsiger, C.S., Bel Hadj, S., Zandona A., Julien, J.P., Shah, S.B. and Cleveland, D.W. (2011) Misfolded SOD1 associated with motor neuron mitochondria alters mitochondrial shape and distribution prior to clinical onset.  PLoS One 6(7), e22031. AbstractFull Text

Nishimura, A.L., Mitne-Neto, M., Silva, H.C., Oliveira, J.R., Vainzof, M. and Zatz, M. (2004)  A novel locus for late onset amyotrophic lateral sclerosis/motor neurone disease variant at 20q13.  Journal of Medical Genetics 41(4), 315-320. AbstractFull Text

Tsuda, H et al. (2008) The amyotrophic lateral sclerosis 8 protein VAPB is cleaved, secreted, and acts as a ligand for Eph receptors.  Cell 133(6), 963-977. AbstractFull Text

Goold, C.P. and Davis, G.W. (2007)  The BMP ligand Gbb gates the expression of synaptic homeostasis independent of synaptic growth control. Neuron 56(1), 109-123. AbstractFull Text

Ratnaparkhi, A., Lawless, G.M., Schweizer, F.E., Golshani, P. and Jackson, G.R. (2008) A Drosophila model of ALS: human ALS-associated mutation in VAP33A suggests a dominant negative mechanism. PLoS One 3(6), e2334. Abstract  Full Text 

Find this useful?
Help us fund more science:

Share this page:

Categories: Tool Time

Dishing ALS

clock October 28, 2011


Astrocytes reborn. Scientists regenerated astrocytes from people with either familial or sporadic ALS from precursor cells isolated from post-mortem samples of the spinal cord. Courtesy of Brian K. Kaspar, Ph.D.

Astrocytes protect and mediate the repair of motor nerves.  But in people with ALS, astrocytes ignite a storm of inflammatory cytokines that results instead in their destruction. 

Now, researchers at Nationwide Children’s Hospital in Ohio hope to figure out how astrocytes trigger deterioration of the motor nerves in people with ALS by recreating the disease in laboratory dishes.  Their system which involves co-culturing motor neurons with astrocytes derived from people with ALS is the first to recreate in the laboratory the sporadic form of the disease.

“We can start studying the molecular mechanisms and the cell biology happening,” says Nationwide Children’s Hospital neuroscientist Brian Kaspar, PhD.

The study is published in the September issue of Nature Biotechnology.

Scientists isolated neural precursors from post-mortem tissue samples obtained from patients with either the familial (fALS) or sporadic (sALS) form of the disease.  The team found that astrocytes generated from either fALS or sALS precursors resulted in degeneration of mouse motor neurons. These results suggest that astrocytes contribute to the deterioration of the motor nerves even in people with the sporadic form of the disease.

Now, Kaspar’s team is developing methods to recreate ALS using motor neurons derived from people with ALS.  And in future years, the researchers hope to include other neighboring cells in the central nervous system including microglia and oligodendrocytes to truly recreate the disease.

Looking ahead, these cellular tools could be used to discover new ALS drugs by screening for compounds that protect motor neurons from degeneration.  And says Kaspar, this system could be used to unravel the mechanisms behind the disease.

“Not too long ago we thought motor neurons were the problem,” says Kaspar, “Now we have lists of cells we are paying attention to.”


Haidet-Phillips, A.M. et al. (2011) Astrocytes from familial and sporadic ALS patients are toxic to motor neurons. Nature Biotechnology,29(9), 824-8. Abstract Full Text (Subscription Required)

Further Reading

Di Giorgio, F.P., Boulting, G.L., Bobrowicz, S., and Eggan, K.C. (2008). Human embryonic stem cell-derived motor neurons are sensitive to the toxic effect of glial cells carrying an ALS-causing mutation. Cell Stem Cell, 3(6), 637-648Abstract Full Text (Subscription Required)

Marchetto, M.C., Muotri, A.R., Mu, Y., Smith, A.M., Cezar, G.G., and Gage F.H. (2008). Non-cell-autonomous effect of human SOD1 G37R astrocytes on motor neurons derived from human embryonic stem cells. Cell Stem Cell, 3(6), 649-657Abstract Full Text (Subscription Required)

Find this useful?
Help us fund more science:

Share this page: