Stem cells hold promise for understanding and treating neurodegenerative diseases, but so far they have failed to accurately model disorders that occur late in life.

A study published by Cell Press in the journal Cell Stem Cell has revealed a new method for converting induced pluripotent stem cells (iPSCs) into nerve cells that recapitulate features associated with ageing, as well as Parkinson’s disease. The simple approach, which involves exposing iPSC-derived cells to a protein associated with premature ageing called progerin, could enable scientists to use stem cells to model a range of late-onset disorders, opening new avenues for preventing and treating these diseases.

‘With current techniques, we would typically have to grow pluripotent stem cell-derived cells for 60 or more years in order to model a late-onset disease,’ said senior study author Lorenz Studer, of the Sloan-Kettering Institute for Cancer Research.

‘Now, with progerin-induced ageing, we can accelerate this process down to a period of a few days or weeks. This should greatly simplify the study of many late-onset diseases that are of such great burden to our aging society.’

iPSC technology to reprogramme skin cells

Modelling a specific patient’s disease in a dish is possible with iPSC approaches, which involve taking skin cells from patients and reprogramming them to embryonic-like stem cells capable of turning into other disease‑relevant cell types like neurons or blood cells.

However, iPSC-derived cells are immature and often take months to become functional, similar to the slow development of the human embryo. As a result of this slow maturation process, iPSC-derived cells are too young to model diseases that emerge late in life.

To overcome this hurdle, Studer and his team exposed iPSC-derived skin cells and neurons, originating from both young and old donors, to progerin. After short-term exposure to this protein, these cells showed age-associated markers that are normally present in old cells.

The researchers then used iPSC technology to reprogramme skin cells taken from patients with Parkinson’s disease and converted the stem cells into the type of neuron that is defective in these patients. After exposure to progerin, these neurons recapitulated disease-related features, including neuronal degeneration and cell death, as well as mitochondrial defects.

‘We could observe novel disease-related phenotypes that could not be modelled in previous efforts of studying Parkinson’s disease in a dish,’ said first author Justine Miller of the Sloan-Kettering Institute for Cancer Research.

‘We hope that the strategy will enable mechanistic studies that could explain why a disease is late-onset. We also think that it could enable a more relevant screening platform to develop new drugs that treat late-onset diseases and prevent degeneration.’