Method Profile

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.

Multiple OrgansOrganoids
A clear six-well cell-culture plate viewed from above.
Six-well cell-culture plate. (Lilly_M, CC BY-SA 3.0)

Research Applications

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.

Sources

  1. A scalable human neuromuscular organoid platform enables lineage-specific analysis of drug responses in spinal muscular atrophy. bioRxiv. 2026-08-24. DOI: 10.64898/2026.08.23.745904 ↗