Heterozygous deletion of neurexin-1 (NRXN1), a presynaptic cell adhesion molecule, is strongly associated with neuropsychiatric disorders and psychosis. NRXN1 is highly alternatively spliced and recently a role for these splice isoforms in neuronal identity has been suggested; however, NRXN1 isoforms have not been characterized in human neurons. Animal models of NRXN1 deletion display deficits in behavior and neuronal activity. However, animal models cannot recapitulate the effect of myriad patient-specific deletions in the context of other risk variants within a patient?s genome; together, these effects likely influence the variable penetrance of NRXN1 deletions, which confer a diverse set of clinical diagnoses. Using hiPSC-neurons derived from a rare cohort of four psychosis patients carrying NRXN1 deletions, this proposal will investigate the casual contribution of these deletions on gene expression, alternative splicing and neuronal phenotypes in excitatory hiPSC-neurons. There are three aims: the first is identify differences in alternative splicing in NRXN1 deletion hiPSC-neurons, the second is to restore isoform deficiencies and manipulate NRXN1 expression in hiPSC-neurons, and the third is to establish the functional significance of NRXN1 deletion in hiPSC-neurons. My hypothesis is that excitatory hiPSC-neurons derived from four psychosis patients will exhibit differential expression of NRXN1 isoforms which are crucial for proper neuronal activity and morphology. We include strong preliminary data demonstrating the feasibility of our proposal; moreover, we have already observed that NRXN1 hiPSC-neurons express both wildtype and deleted allele variants. Our hope is that these experiments will improve our understanding of the molecular mechanisms underlying genetic risk for neuropsychiatric disorders.

Public Health Relevance

Complex neuropsychiatric disorders are highly heritable and affect millions of individuals each year. Heterozygous deletions in NRXN1, a presynaptic cell adhesion protein, have been associated with schizophrenia, bipolar disorder and autism spectrum disorder. This proposal will establish the causal link between NRXN1 deletion, transcription and cellular phenotypes in excitatory neurons derived from human induced pluripotent stem cells.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31MH112285-02
Application #
9468255
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Driscoll, Jamie
Project Start
2017-04-04
Project End
2020-04-03
Budget Start
2018-04-04
Budget End
2019-04-03
Support Year
2
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Icahn School of Medicine at Mount Sinai
Department
Pathology
Type
Schools of Medicine
DUNS #
078861598
City
New York
State
NY
Country
United States
Zip Code
10029
Hoffman, Gabriel E; Schrode, Nadine; Flaherty, Erin et al. (2018) New considerations for hiPSC-based models of neuropsychiatric disorders. Mol Psychiatry :