Researchers have developed a new way to install millions of human brain cells into mice, as a way of creating better scientific models for studying neurodegenerative disease.

Using genetic tools, the scientists bred mice that were missing most of their cerebral cortexes – the outermost layer of the brain involved with reasoning, memory and consciousness. Then, they replaced a large part of those missing mouse cells with lab-grown human brain cells, creating mice with human neurons that can be altered to approximate human brain conditions researchers are eager to study.

"For the past two decades, there's been a quest to try to build models of the human brain outside of the human body," says Sergiu Pașca, professor of psychiatry and behavioral sciences at Stanford University and senior author on the paper, published in the journal Nature. "This is not going to replace all the models we had before, but it's going to provide us access to other aspects of human brain function that would be very difficult to study otherwise."

Pașca says this research was conducted with strong ethical oversight and pushes research forward. At the same time, outside researchers point out that the development raises significant questions about where it could lead.

"It's really a powerful technology to study human neurons and how human brain circuits can form in a more natural environment" than a petri dish, says Hongkui Zeng, executive vice president and director of brain science at the Allen Institute in Seattle, Washington, who was not affiliated with the study.

But "going forward, there will be some considerations, if not concerns," she added — such as the implications of deploying this technique in larger and longer-living animals.

Making space for human neurons

While it's not the first time human brain cells have been installed in mice, this new effort manages to connect significantly more human cells than before.

Previous attempts were limited by an enduring biological reality: Human brain cells develop at least 20 times slower than those in mice, Pașca says.

That meant that neurons in a regularly developing mouse formed a rapid network, outcompeting the human cells that were dropped in. "By the time the human cells managed to extend a few millimeters, mice cells had already formed most of the connections, and brain development closed," Pașca says.

The team solved for this by breeding genetically engineered mice that were missing specific parts of their brains. "We thought we could provide the human cells more opportunities to connect by removing parts of the nervous system of the mouse in a very precise, very clean way," he says.

To their surprise, the mice they bred were still quite functional: "They actually have quite good locomotion," Pașca says, "They don't do that well in memory tasks…[but] you wouldn't be able to tell when you look at these animals that they're lacking half of the volume of their brain."

This part of the experiment shows the remarkable adaptability of developing brains, says Keng of the Allen Institute. Animals missing their cerebral cortex — which governs higher-order brain function — aren't expected to do well on challenging tasks. These mice, however, developed alternative strategies using the remaining parts of the brain. "Surprisingly, the animal can adapt," she says, "It's incredible to see that."

A more human-ish lab mouse brain

Next, the research team added small clumps of human neurons to the depleted mouse brains.

"We gently place them, through a very quick, simple procedure, right into that vacant space in the nervous system of the mouse," Pașca says. "Within a few days, the cell starts to divide and expand. Within a few weeks to months, they will essentially grow, become vascularized, and largely take up the space that was present."

The mice with filled-out brains were better at memory tasks and interacting with other mice. "Many of the deficits that were present in the [depleted] mice are now not present in this animal," he says, "So it seems that the human cortical cells are perhaps contributing to restoring some of these lost functions."

But there were some key differences between the mice with human brain cells, and regular, unaltered mice, which bode well for research into human brain conditions, Pașca says.

For instance, mice with human brain cells had problems walking properly after their brains were deprived of oxygen. That's not the case for regular mice, which are resilient to low-oxygen conditions. This more human-like reaction suggests the altered mice might be better models for brain conditions linked to low oxygen, such as cerebral palsy, intellectual disability, and epileptic encephalopathies, he says.

"Hopefully, it will be incredibly powerful for tackling questions of disease and developing therapeutics," says Pașca.

As the tech grows more complex, so do the ethics questions

The researchers emphasize that this is not a full brain transplant; in the experiment, they've removed some 14 million mouse neurons and added around 4 million lab-grown human cortical neurons.

The resulting mice still lack other important types of brain cells, which the researchers deliberately didn't add, and their human neurons don't form a typical outer brain. "The cortex is usually beautifully organized into layers. But here, when we put the cells in, they don't know where up and down really is," Pașca says. "They fail to organize on a larger scale."

And the model is best suited for certain diseases that begin in early human development, due to the human-paced growth of the implanted neurons: "It turns out the timing of development is well-conserved…even when we put them in an animal that is developing faster," he says.

Some of these limitations reflect deliberate choices made by the researchers for ethical reasons, says Nita Farahany, professor of law and philosophy at Duke Law, who served as an unpaid member of an external ethics board that helped guide the progression of this work.

For instance, the researchers chose to stop the experiments when the human brain cells reached around six months old — before they could form a connection in the mouse's brain that is considered a hallmark of consciousness by human development researchers. "They're trying to stop the study before the markers of consciousness, or the fact of consciousness, might emerge," Farahany says — a choice she agrees with.

"But that line itself is a line that you might start to wonder about," she adds. "Do you stop a study before an animal develops consciousness, if it has the potential or is on its way to develop consciousness? Does it have different interests or rights that we would assign to it?"

And should the fact that the mouse has human brain cells change how it's treated and considered? "Do we treat it with greater ethical care than we treat traditional mice? I think probably so," says Farahany. "My instinct is to err on the side of caution with research like this rather than to be more permissive."

The ethical considerations will grow as these experiments continue down expected paths, such as attempting a similar procedure on larger animals such as pigs or non-human primates, says Zeng of the Allen Institute. "Because those animals live a lot longer, the human neurons could survive longer and they could form more functionally meaningful circuits – but then I think the ethical issues also become a lot bigger, more serious as well," she says.

These types of concerns come with conducting cutting-edge research, says Farahany. The team has been "incredibly thoughtful" in conducting their work as well and ethically as possible, she says. Still, "this brings us into new gray areas for which there are not clear ethical guidelines or norms," she says.

With this publication, the researchers have presented the public with a next step in this model, she says. Now, it's society's turn to weigh in.

Tagged: neuroscience

Mice with human brain cells offer a tool to study disease. Ethicists ask: What's next?