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Table 1 Studies detailing the generation of FRDA iPSCs and their derived models, as well as their use to investigate FRDA pathology

From: Patient-derived iPSC models of Friedreich ataxia: a new frontier for understanding disease mechanisms and therapeutic application

Study theme

Study

Year

Cell type(s) utilised

Study outcome

Developing iPSC-derived cellular models of FRDA

Liu et al. [9]

2011

FRDA iPSC-derived peripheral neurons

FRDA iPSC-derived cardiomyocytes

Successful generation of FRDA iPSCs from patient fibroblasts. These FRDA iPSCs could be differentiated into peripheral neurons and cardiomyocytes

Wong et al. [11]

2019

FRDA iPSC-derived 3D human ventricular cardiomyocyte model

Generation of 3D human-engineered cardiac tissue models from FRDA iPSC-derived cardiomyocytes. These cardiac models show electrophysiological defects and FXN expression-dependent contractility defects

Mazzara et al. [12]

2020

FRDA iPSC-derived dorsal root ganglia organoid sensory neurons

Generation of a DRG organoid-derived sensory neuronal model from FRDA iPSCs. This model exhibits molecular and cellular phenotypes which are reversed upon excision of the FXN intron 1

Dionisi et al. [13]

2020

FRDA iPSC-derived primary proprioceptive neurons

Development of a protocol allowing the successful generation of proprioceptive enhanced cultures (up to 50% of finally differentiated neurons) from FRDA iPSCs. Further cell sorting with FACS resulted in almost pure proprioceptive cultures

Investigation of FRDA phenotypic characteristics

Hick et al. [10]

2013

FRDA iPSC-derived neurons

FRDA iPSC-derived cardiomyocytes

FRDA iPSCs demonstrate expansion instability and reduced FXN expression, but no biological phenotypes. Subsequently derived neurons and cardiomyocytes demonstrate diseased mitochondrial phenotypes

Lee et al. [14]

2014

FRDA iPSC-derived cardiomyocytes

FRDA iPSC-derived cardiomyocytes are similar in size, ATP production rate and calcium handling phenotypes when compared to wild-type controls, despite exhibiting some mitochondrial defects. The presence of an excessive iron supplement resulted in the display of iron-overloading cardiomyopathy phenotypes in the same cells

Bird et al. [15]

2014

FRDA iPSC-derived neurons

FRDA iPSC-derived neurons possess normal mitochondrial function and show no altered susceptibility to cell death. FRDA iPSC-derived neural progenitors differentiate into functional neurons and following transplantation can successfully integrate in vivo in the cerebellum of adult rodents

Crombie et al. [16]

2015

FRDA iPSC-derived retinal pigment epithelium cells

Retinal pigment epithelium cells derived from FRDA iPSCs display normal oxidative phosphorylation activity and normal phagocytosis

Crombie et al. [17]

2017

FRDA iPSC-derived cardiomyocytes

FRDA iPSC-derived cardiomyocytes demonstrate electrophysiological phenotypes of calcium handling deficiency such as increased variation in beating rates (prevented with nifedipine) and low calcium transients

Bolotta et al. [18]

2019

FRDA iPSC-derived cardiomyocytes

FRDA iPSC-derived cardiomyocytes exhibit increased protein expression of hepcidin and ferroportin and decreased levels of nuclear ferroportin in comparison to controls

Investigation into molecular mechanisms underpinning FRDA pathology

Ku et al. [8]

2010

FRDA iPSCs

Successful generation of iPSCs from FRDA patient fibroblasts, which maintain FXN gene repression and demonstrate GAA repeat instability. Silencing of MSH2 (which occupies FXN intron 1) impairs the GAA repeat expansion in FRDA iPSCs

Du et al. [19]

2012

FRDA iPSCs

FRDA iPSC-derived neural precursors

FRDA iPSC-derived neurospheres

Increased expression of MSH2, MSH3 and MSH6 was found in FRDA patient-derived iPSCs, with silencing of MSH2 and MSH6 impairing the repeat expansion. Treatment of FRDA iPSCs with polyamide FA1 partially blocks GAA repeat expansions

Eigentler et al. [20]

2013

FRDA iPSC-derived peripheral sensory neurons

Successful generation of peripheral sensory neurons and neural crest progenitors from FRDA iPSCs. FRDA iPSCs failed to upregulate frataxin during differentiation to FRDA peripheral sensory neurons

Shan et al. [21]

2014

FRDA iPSC-derived neural stem cells

Identification of protein targets and mechanistic pathways for an HDAC inhibitor (compound 106) in FRDA iPSC-derived neural stem cells. Targets of compound 106 are likely involved in both transcriptional regulation and post-transcriptional processing of mRNA

Igoillo-Esteve et al. [22]

2015

FRDA iPSC-derived β cells

FRDA iPSC-derived neurons

β cell death due to frataxin deficiency is a consequence of activation of the intrinsic apoptotic pathway, which is activated in FRDA iPSC-derived neurons and β cells. Prevention of the intrinsic apoptotic pathway activation is seen with cAMP induction

Rodden et al. [23]

2021

FRDA iPSC-derived neurons

Determination of previously unrecognised differentially methylated region upstream of expanded repeat in FRDA iPSC-derived neurons

Cotticelli et al. [24]

2022

FRDA iPSC-derived cardiomyocytes

Transcriptomic analysis of a novel FRDA iPSC isogenic cardiomyocyte model demonstrated mitochondrial dysfunction and a type 1 interferon activation response as pathways most affected by frataxin deficiency

Angulo et al. [25]

2022

FRDA iPSC-derived neurons

FRDA iPSC-derived cardiomyocytes

Identification of differentially expressed genes in FRDA iPSC-derived neurons and cardiomyocytes demonstrated that glycolysis and extracellular matrix-involved pathways are most affected by FXN deficiency in neurons and cardiomyocytes, respectively

  1. FACS, fluorescent-activated cell sorting