# Brain organoids as precision models for neurodegenerative diseases: from disease modeling to drug discovery

**Authors:** Yanxu Zheng, Wenke Zhou, Haozhe Chang, Kuihong Zheng

PMC · DOI: 10.3389/fnins.2026.1764964 · Frontiers in Neuroscience · 2026-02-18

## TL;DR

Brain organoids offer a more accurate way to study and develop treatments for diseases like Alzheimer's and Parkinson's by mimicking human brain structures and pathology.

## Contribution

The paper highlights brain organoids as a novel platform for precision modeling and drug discovery in neurodegenerative diseases.

## Key findings

- Brain organoids better replicate human brain complexity and disease mechanisms compared to traditional models.
- Integration with CRISPR and multi-omics enhances organoids' utility for drug discovery and personalized medicine.
- Advances in bioengineering and AI are addressing current limitations of organoid models.

## Abstract

Neurodegenerative diseases such as Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS) have become major global causes of disability and mortality. Their complex pathogenic mechanisms remain incompletely understood, and effective disease-modifying therapies are still lacking. Traditional animal models and two-dimensional (2D) cell culture systems exhibit notable limitations in structural complexity, human relevance, and translational validity, making it difficult to faithfully recapitulate human-specific neuropathology. In recent years, brain organoid technology derived from induced pluripotent stem cells (iPSCs) has advanced rapidly, enabling the self-organization of diverse neuronal and glial cell types within a three-dimensional (3D) architecture that partially mimics human brain development and disease-related pathological events. When integrated with CRISPR–Cas9-based genome editing and multi-omics profiling, organoids support causal mechanism studies, target validation, and individualized drug-response prediction, highlighting their growing value in early-stage drug discovery. Despite current challenges—including insufficient maturation, lack of vascularization and immune components, and batch variability—the continuous progress in bioengineering, microfluidic systems, and artificial intelligence (AI)–driven multimodal data analysis is steadily expanding the translational potential of organoids as human-relevant preclinical models. Overall, brain organoids provide an essential foundation for constructing physiologically relevant and predictive research platforms for neurodegenerative diseases, offering new opportunities for therapeutic development and precision medicine.

## Linked entities

- **Diseases:** Alzheimer’s disease (MONDO:0004975), Parkinson’s disease (MONDO:0005180), amyotrophic lateral sclerosis (MONDO:0004976)

## Full-text entities

- **Genes:** SNCA (synuclein alpha) [NCBI Gene 6622] {aka NACP, PARK1, PARK4, PD1}, BACE2 (beta-secretase 2) [NCBI Gene 25825] {aka AEPLC, ALP56, ASP1, ASP21, BAE2, CDA13}, APOE (apolipoprotein E) [NCBI Gene 348] {aka AD2, APO-E, ApoE4, LDLCQ5, LPG}, PSEN2 (presenilin 2) [NCBI Gene 5664] {aka AD3L, AD4, CMD1V, PS2, STM2}, LGALS1 (galectin 1) [NCBI Gene 3956] {aka GAL1, GBP}, FUS (FUS RNA binding protein) [NCBI Gene 2521] {aka ALS6, ETM4, FUS1, HNRNPP2, POMP75, TLS}, MAPT (microtubule associated protein tau) [NCBI Gene 4137] {aka DDPAC, FTD1, FTDP-17, MAPTL, MSTD, MTBT1}, GBA1 (glucosylceramidase beta 1) [NCBI Gene 2629] {aka GBA, GCB, GLUC}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, C9orf72 (C9orf72-SMCR8 complex subunit) [NCBI Gene 203228] {aka ALSFTD, DENND9, DENNL72, FTDALS, FTDALS1}, PSEN1 (presenilin 1) [NCBI Gene 5663] {aka ACNINV3, AD3, CMD1U, FAD, PS-1, PS1}, TARDBP (TAR DNA binding protein) [NCBI Gene 23435] {aka ALS10, TDP-43}, SORL1 (sortilin related receptor 1) [NCBI Gene 6653] {aka C11orf32, LR11, LRP9, SORLA, SorLA-1, gp250}, LRRK2 (leucine rich repeat kinase 2) [NCBI Gene 120892] {aka AURA17, DARDARIN, PARK8, RIPK7, ROCO2}, ACHE (acetylcholinesterase (Yt blood group)) [NCBI Gene 43] {aka ACEE, ARACHE, N-ACHE, YT}, TREM2 (triggering receptor expressed on myeloid cells 2) [NCBI Gene 54209] {aka AD17, PLOSL2, TREM-2, Trem2a, Trem2b, Trem2c}, NLRP3 (NLR family pyrin domain containing 3) [NCBI Gene 114548] {aka AGTAVPRL, AII, AVP, C1orf7, CIAS1, CLR1.1}, SOD1 (superoxide dismutase 1) [NCBI Gene 6647] {aka ALS, ALS1, HEL-S-44, IPOA, SOD, STAHP}
- **Diseases:** hypoxic (MESH:D002534), motor neuron disease (MESH:D016472), hypoxia (MESH:D000860), autophagic (MESH:C536522), metabolic dysfunction (MESH:D008659), NMJ (MESH:D020511), , mitochondrial, or inflammatory toxicity (MESH:D028361), PD (MESH:D010300), muscle atrophy (MESH:D009133), inflammation (MESH:D007249), Neurodegenerative diseases (MESH:D019636), neuroinflammation (MESH:D000090862), alpha-synucleinopathy (MESH:D000080874), lysosomal dysfunction (MESH:D016464), Down syndrome (MESH:D004314), Neurotoxicity (MESH:D020258), synaptic failure (MESH:D051437), AD (MESH:D000544), DA neuron degeneration (MESH:D009410), brain cancer (MESH:D001932), necrosis (MESH:D009336), NMOs (MESH:D009468), damage to the nervous system (MESH:D020196), ALS (MESH:D000690), cytotoxicity (MESH:D064420)
- **Chemicals:** fentanyl (MESH:D005283), glutamate (MESH:D018698), oligonucleotides (MESH:D009841), ambroxol (MESH:D000551), lecanemab (MESH:C000612089), GZ667161 (MESH:C000626789), lipid (MESH:D008055), donepezil (MESH:D000077265), OSKM (-), GSK2606414 (MESH:C576403)
- **Species:** HC [taxon 11103], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** G2019S

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12957236/full.md

## References

68 references — full list in the complete paper: https://tomesphere.com/paper/PMC12957236/full.md

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Source: https://tomesphere.com/paper/PMC12957236