Dynamic allele usage of X-linked genes ameliorates neurodevelopmental disease phenotypes in brain organoids

While random X-chromosome inactivation in female cells of placental mammals silences one allele of the majority of X-chromosomal genes, a considerable fraction is only incompletely and variably inactivated. Human model systems to study the dynamics of incomplete X-inactivation are limited mostly to postmortem tissue, thereby disregarding developmental trajectories. Here, we used clonal human female induced pluripotent stem cells to track allele-specific expression of X-chromosomal genes along neural differentiation. We discovered dynamic reactivation and late-silencing of gene expression from the inactive X-chromosome leading to differentiation-induced locus- and lineage-specific usage of the two X-chromosomal alleles. In brain organoids modeling Opitz BBB/G syndrome, an X-linked neurodevelopmental disorder, reactivation of alleles from the inactive X-chromosome rescued cellular phenotypes and led to intermediate manifestations in female tissue. Taken together, our data demonstrate that alleles on the inactive X-chromosome can serve as a critical reservoir dynamically used during differentiation, thereby enhancing resilience of female neural tissue.

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Publication Details

Journal
Nature Communications
Published
2026-01-14
DOI
https://doi.org/10.1038/s41467-026-68428-x
Citations
2
Primary Topic
Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
Type
article
Field-Weighted Citation Impact
61.86

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article

Dynamic allele usage of X-linked genes ameliorates neurodevelopmental disease phenotypes in brain organoids

Elisa Gabassi, Elisa Cesare, Stephan Käseberg, Marco Bertin et al.
2 citations
Nature Communications
Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
61.86
article

Dynamic allele usage of X-linked genes ameliorates neurodevelopmental disease phenotypes in brain organoids

Elisa Gabassi, Elisa Cesare, Stephan Käseberg, Marco Bertin, Nicola Elvassore, Nadine Bobon, Peter Baumann, Hristo Todorov, Federica Furlanetto, Ramkumar Menon, Katja Luck, Benjamin Lohrer, Heiko Brennenstuhl, Marisa Karow, Sarah Frank, Jennifer Krummeich, Azza Soliman, S. Schweiger, H. M. B. Ibrahim, J. Winter, P. Lunt, B. Winner, S. Falk, A. Mas-Sanchez, V. Engelhardt, C. Foerster, S. Gerber, S. Diederich, J. Winkler, MF Basilicata, B. Berninger, E. Weis, L. Birschmann
article en
2 citations

Abstract

While random X-chromosome inactivation in female cells of placental mammals silences one allele of the majority of X-chromosomal genes, a considerable fraction is only incompletely and variably inactivated. Human model systems to study the dynamics of incomplete X-inactivation are limited mostly to postmortem tissue, thereby disregarding developmental trajectories. Here, we used clonal human female induced pluripotent stem cells to track allele-specific expression of X-chromosomal genes along neural differentiation. We discovered dynamic reactivation and late-silencing of gene expression from the inactive X-chromosome leading to differentiation-induced locus- and lineage-specific usage of the two X-chromosomal alleles. In brain organoids modeling Opitz BBB/G syndrome, an X-linked neurodevelopmental disorder, reactivation of alleles from the inactive X-chromosome rescued cellular phenotypes and led to intermediate manifestations in female tissue. Taken together, our data demonstrate that alleles on the inactive X-chromosome can serve as a critical reservoir dynamically used during differentiation, thereby enhancing resilience of female neural tissue.

Nature CommunicationsVol. 17(1)
University of Padua (IT), Friedrich-Alexander-Universität Erlangen-Nürnberg (DE), King's College London (GB), Johannes Gutenberg University Mainz (DE), Heidelberg University (DE), The Francis Crick Institute (GB), University Hospital Heidelberg (DE), University of Bristol (GB), Universitätsklinikum Erlangen (DE), Leibniz Institute for Resilience Research (DE), University Medical Center of the Johannes Gutenberg University Mainz (DE), Quantitative BioSciences (US), Institut für Psychogerontologie (DE), Institute of Molecular Biology (DE)
Wellcome Trust, Francis Crick Institute, Cancer Research UK, Deutsche Forschungsgemeinschaft, Ludwig-Maximilians-Universität München, Medical Research Council
Gender equality
Openalex Percentile: Top 0%
Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
61.86
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