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Mosaic human cortical organoids model mTOR-related focal cortical dysplasia through DEPDC5 deletion - PubMed

5 days ago
  • #mTOR signaling
  • #epilepsy
  • #neurodevelopmental disorders
  • Mosaic human cortical organoids (hCOs) model mTOR-related focal cortical dysplasia (FCDII) through DEPDC5 deletion.
  • FCDII is a major cause of pediatric drug-resistant epilepsy, linked to mTOR pathway gene mutations, including DEPDC5 loss-of-function variants.
  • Mosaic hCOs showed increased mTOR activity, rescued by rapamycin, and exhibited dysmorphic neurons and enhanced excitability, mimicking FCDII pathology.
  • Single-cell transcriptomics revealed aberrant neuron differentiation, premature upper-layer neuron generation, and altered synaptic/epilepsy-related gene expression.
  • DEPDC5 deficiency disrupts human corticogenesis, with mosaic biallelic inactivation being necessary for FCDII pathogenesis.