A systematic review and embryological perspective of pluripotent stem cell-derived autonomic postganglionic neuron differentiation for human disease modelling

Abstract

Human autonomic neuronal cell models are emerging as tools for modelling diseases such as cardiac arrhythmias. In this systematic review, we compared thirty-three articles applying fourteen different protocols to generate sympathetic neurons and three different procedures to produce parasympathetic neurons. All methods involved the differentiation of human pluripotent stem cells, and none employed permanent or reversible cell immortalization. Almost all protocols were reproduced in multiple pluripotent stem cell lines, and over half show evidence of neural firing capacity. Common limitations in the field are a lack of three-dimensional models and models including multiple cell types. Sympathetic neuron differentiation protocols largely mirrored embryonic development, with the notable absence of migration, axon extension, and target-specificity cues. Parasympathetic neuron differentiation protocols may be improved by including several embryonic cues promoting cell survival, cell maturation, or ion channel expression. Moreover, additional markers to define parasympathetic neurons in vitro may support the validity of these protocols. Nonetheless, four sympathetic neuron differentiation protocols and one parasympathetic neuron differentiation protocol reported more than two thirds of cells expressing autonomic neuron markers. Altogether, these protocols promise to open new research avenues of human autonomic neuron development and disease modelling.

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All supporting data is provided in the tables, figures and supplementary files.

Article and author information

Author details

  1. Thomas A Bos

    Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, Netherlands
    For correspondence
    t.a.bos@lumc.nl
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0003-2837-7355
  2. Elizaveta Polyakova

    Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-9615-2871
  3. Janine Maria van Gils

    Maria, Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    The authors declare that no competing interests exist.
  4. Antoine A F de Vries

    Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    The authors declare that no competing interests exist.
  5. Marie-José Goumans

    Department of Cell and Chemical Biology, Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    The authors declare that no competing interests exist.
  6. Christian Freund

    Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    The authors declare that no competing interests exist.
  7. Marco C DeRuiter

    Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    The authors declare that no competing interests exist.
  8. Monique RM Jongbloed

    Department of Anatomy and Embryology, Leiden University Medical Center, Leiden, Netherlands
    For correspondence
    m.r.m.jongbloed@lumc.nl
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-9132-0418

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek (91719346)

  • Monique RM Jongbloed

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Copyright

© 2025, Bos et al.

This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.

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  1. Thomas A Bos
  2. Elizaveta Polyakova
  3. Janine Maria van Gils
  4. Antoine A F de Vries
  5. Marie-José Goumans
  6. Christian Freund
  7. Marco C DeRuiter
  8. Monique RM Jongbloed
(2025)
A systematic review and embryological perspective of pluripotent stem cell-derived autonomic postganglionic neuron differentiation for human disease modelling
eLife 14:e103728.
https://doi.org/10.7554/eLife.103728

Share this article

https://doi.org/10.7554/eLife.103728

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