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Research Spotlight: Using Stem Cell Therapy to Rescue a Critical Sleep Rhythm Affected in Alzheimer’s Disease

4 minute read
Graphical abstract showing how transplanted donor cells migrated, matured and integrated with the host brain to restore slow oscillation.

Shinya Yokomizo, PhD, a postdoctoral fellow with the Mass General Brigham Neuroscience Institute, is the lead author of a paper published in Advanced Science, “Transplantation of GABAergic Interneuron Progenitors Restores Cortical Circuit Function in an Alzheimer’s Disease Mouse Model.” Ksenia V. Kastanenka, PhD, an investigator also with the Mass General Brigham Neuroscience Institute, is the senior author.

Shinya Yokomizo, PhD

Shinya Yokomizo, PhD

Ksenia V. Kastanenka, PhD

Ksenia V. Kastanenka, PhD

Q: How would you summarize your study for a lay audience?

Confocal microscopy image of donor cells in the host cortex, with donor cells labeled in green and cell nuclei stained with DAPI in cyan.
Confocal microscopy image of donor cells in the host cortex, with donor cells labeled in green and cell nuclei stained with DAPI in cyan.

Alzheimer’s disease affects memory, thinking and even sleep, long before symptoms become obvious. One of the earliest detectable changes is a weakening of slow oscillation, a deep-sleep brain rhythm that helps restore neural function and clear harmful proteins while we sleep. When this rhythm falters, cognitive decline accelerates.

Using a preclinical model of Alzheimer’s disease, our study explored an innovative stem-cell–based strategy to revive this weakened brain rhythm. The process involved transplanting inhibitory neuron progenitors—early-stage cells that will grow into “calming” nerve cells—into the cortex of the brain.

Q: What question were you investigating?

Our study centered on GABAergic interneuron progenitors, immature cells destined to develop into GABA-releasing interneurons that help balance brain activity.

First, we asked, when these progenitor cells are transplanted into the cortex of a mouse model of Alzheimer’s disease, could they migrate and mature into the desired inhibitory interneuron types?

And secondly, could the progenitors integrate well enough with the host brain, on a functional level, to restore impaired slow oscillation?

Q: What methods or approach did you use?

We took inhibitory neuron progenitors from healthy donor mice and transplanted them into the anterior cortex of a mouse model of Alzheimer’s disease. Using advanced imaging and microscopic techniques, we tracked how these cells spread through the cortex, matured into specific neuron types, and formed connections with the host brain. We also monitored the activity of the transplanted neurons to see how well they functioned within existing brain circuits.

Finally, we used a special dye and imaging approach to measure slow brain activity across the cortex, both under normal conditions and when brain cells were activated using light.

Q: What did you find?

Donor nerve fibers (green) making connections in the host brain, with colored dots marking where those connections form.
Donor nerve fibers (green) making connections in the host brain, with colored dots marking where those connections form.

We found that these donor cells migrated through the brain, matured into healthy interneurons and formed functional connections with surrounding host neurons. Remarkably, stem cells restored slow oscillation to levels comparable with healthy mice, and when we used light to turn the transplanted cells on, recovery was enhanced even further.

Q: What are the implications?

This work provides compelling evidence that stem cell–based therapy may represent a viable therapeutic strategy for Alzheimer’s disease.

By demonstrating that transplanted inhibitory progenitors can engraft, mature and restore slow oscillation, the study indicates that targeting early network dysfunction may alleviate sleep impairments and potentially slow cognitive decline. Furthermore, because the transplanted cells integrate and persist, this approach could serve as a one-time, long-lasting intervention—unlike pharmacological or immunotherapy-based treatments that require repeated dosing.

Our findings lay the essential groundwork for translating cell therapy into a complementary treatment aimed at reducing pathology and repairing the neural circuitry that supports sleep and memory.

Q: What are the next steps?

Future work will need to determine whether human stem cell–derived interneurons have similar efficacy in preclinical models as the mouse-derived stem cells had in this study. Cell transplantation protocols should also be refined to move this approach closer to clinical use.

Finally, it will be important to assess whether restoring slow oscillation leads to lasting cognitive improvements across multiple Alzheimer’s disease models and how interneuron-based therapies might work alongside existing treatments.

Authorship: In addition to Yokomizo and Kastanenka, Mass General Brigham authors include Megi Maci, Morgan R. Miller, Stephen J. Perle, Shuzo Inagaki, Shusaku Takahashi, Moustafa Algamal, Rebecca L. Gillani, and Theodore J. Zwang.

Paper cited: Yokomizo, S., et al. “Transplantation of GABAergic Interneuron Progenitors Restores Cortical Circuit Function in an Alzheimer's Disease Mouse Model.” Advanced Science. DOI: 10.1002/advs.202511472

Funding: This work was supported by the Overseas Research Fellowship, Japan Society for the Promotion of Science (202360054); Research Fellowship, Japan Agency for Medical Research and Development (AMED); and National Institutes of Health Grants (R01AG066171) and (R21AG075807).

Disclosures: None.

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