Lineage-Resolved Drug Responses in SMA Neuromuscular Organoids
Neural and muscle compartments are evaluated together after SMN2 splicing-modulator treatment, linking molecular response with neuromuscular structures and contraction.
Comparison of SMN restoration, muscle maturation and integrated neuromuscular function in SMA models.
Model & Design
Neuromuscular organoids from three SMA type 1 patient iPSC lines and healthy pluripotent stem cell controls; detailed pharmacological analysis centers on Pt1.
Experimental Format
Risdiplam at 250 nM or branaplam at 40 nM from day 20; day-30 transcript analysis and approximately day-60 structural/functional follow-up.
Model Components
Component
Human tissues
Description
Spatially segregated spinal neural and skeletal muscle compartments with neuromuscular contacts.
Component
Drug comparisons
Description
Risdiplam, branaplam and a separate risdiplam–prednisolone comparison.
Component
Measurements
Description
SMN immunoblotting, single-nucleus RNA sequencing, α-bungarotoxin-associated junction measurements, myofiber diameter and live contraction analysis.
Measurements & Endpoints
SMN protein
Lineage-specific expression response
Junction-associated receptor clusters
Myofiber diameter
Spontaneous contractile activity
Analysis
Keep molecular and functional responses separate; distinguish patient-line replication, differentiation experiments, organoids and sequenced nuclei.
Published Evidence
Study Design
Compare two splicing modulators and follow whether increased SMN/junction structures coincide with muscle growth and contraction.
Study Sample
Three patient lines for baseline/SMN comparisons; principal Pt1 drug structural/functional comparisons use three independent experiments with three organoids per condition.
Comparison
Untreated SMA organoids, healthy controls and separate drug conditions; curare tests transmission-dependent contraction.
Finding
Both drugs increased SMN and junction-associated structures. Branaplam produced broader muscle transcriptional changes, increased myofiber diameter and stronger functional recovery in Pt1.
Interpretation & Limits
The detailed drug-response analysis is concentrated in one patient background.
Junction-associated cluster counts and contractile activity measure different outcomes.
Preprint findings concern selected concentrations and developmental windows.
The authors use branaplam as a functional probe and note its lack of clinical viability.
A neuromuscular organoid preprint compares risdiplam and branaplam across neuronal and muscle compartments. Both increased SMN protein and junction-associated structures, while branaplam produced a stronger muscle-maturation and contraction response in the principal patient model.