1. Lithium restores nuclear REST and Mitigates oxidative stress in down syndrome iPSC-Derived neurons.
- Author
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Lam XJ, Maniam S, Ling KH, and Cheah PS
- Subjects
- Humans, Lithium Carbonate pharmacology, Neuroprotective Agents pharmacology, Induced Pluripotent Stem Cells drug effects, Induced Pluripotent Stem Cells metabolism, Oxidative Stress drug effects, Oxidative Stress physiology, Neurons drug effects, Neurons metabolism, Down Syndrome metabolism, Down Syndrome pathology, Down Syndrome drug therapy, Reactive Oxygen Species metabolism, Repressor Proteins metabolism, Repressor Proteins genetics
- Abstract
Down syndrome (DS), caused by trisomy 21, is characterized by intellectual disability and accelerated aging, with chronic oxidative stress contributing to neurological deficits. REST (Repressor Element-1 Silencing Transcription factor), a crucial regulator of neuronal gene expression implicated in DS neuropathology. This study investigates the neuroprotective potential of lithium, a mood stabilizer with known cognitive-enhancing effects, in restoring levels of REST. Using three pairs of human disomic and trisomic DS induced pluripotent stem cell (iPSC) isogenic lines, we differentiated neurons and treated them with lithium. Nuclear REST expression and reactive oxygen species (ROS) levels were quantified. Results showed the significantly lower nuclear REST expression in DS neurons was restored after 24 h of 10 mM lithium carbonate treatment. Notably, lithium treatment selectively reduced ROS levels in DS neurons to near-baseline levels. When challenged with hydrogen peroxide, DS neurons exhibited increased vulnerability to oxidative stress. The lithium treatment also significantly reduced ROS levels in the stressed control neurons. These findings reveal a positive association between lithium treatment, REST restoration, and oxidative stress reduction, suggesting that repurposing lithium could contribute to developing therapeutic strategies for DS neuropathologies. This study provides novel insights into DS molecular mechanisms and highlights the potential of lithium as a targeted intervention for improving neuronal function in DS., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025 International Brain Research Organization (IBRO). Published by Elsevier Inc. All rights reserved.)
- Published
- 2025
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