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Alzheimer's Association International Conference 2026

July 12-15, 2026 | London, United Kingdom, and Online

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13619

Age-preserving 3D Induced Neurons Constructs Reveal Amyloid-independent Neuronal Vulnerability In Sporadic Alzheimer's Disease

Part of Topic

Basic Science and Pathogenesis -> Molecular and Cell Biology -> APP/Abeta/Amyloid

Age-preserving 3D iN models reveal intrinsic neuronal vulnerability in sporadic Alzheimer’s disease

Background
Directly induced neurons (iNs) retain donor-specific aging signatures, providing a powerful platform to study age-associated mechanisms in Alzheimer’s disease (AD), particularly in sporadic AD (sAD). However, current iN-based systems remain limited in their ability to support key disease-related phenotypes, including long-term protein retention and its relationship to neuronal vulnerability. We hypothesized that engineering a three-dimensional (3D) microenvironment would enable the emergence of these features in patient-derived neurons.

Methods
We engineered a 3D iN platform by seeding patient-derived neurons onto synthetic microcarriers that support structural complexity and functional network formation. iNs were generated from fibroblasts of familial AD (fAD), sAD patients and age-matched controls. Cultures were maintained under conditions that enable endogenous Aβ production and accumulation. We assessed Aβ aggregation and cell-intrinsic vulnerability phenotypes, including Tau pathology and synaptic resilience.

Results
The 3D iN platform supported the formation of complex, highly interconnected neuronal networks with sustained electrical activity, indicating stable long-term maturation. Within this context, the system enabled the retention and aggregation of endogenously produced Aβ. Notably, sAD-derived 3D iNs exhibited a distinct vulnerability phenotype, characterized by reduced synaptic resilience and increased Tau pathology. Importantly, this phenotype emerged independently of differences in Aβ levels, suggesting that intrinsic neuronal susceptibility is a key component of sAD pathology.

Conclusions
By combining aging-preserving iNs with a 3D microenvironment, we establish a model that supports long-term functional neuronal networks, enables Aβ retention and aggregation, and reveals intrinsic neuronal vulnerability in sAD. This platform provides a physiologically relevant, patient-specific system to investigate AD mechanisms and identify therapeutic strategies targeting neuronal resilience.

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