In_Vitro experiment designed to assess clinical efficacy targeting TREM2 in Human iPSC-derived astrocytes + microglia, TREM2 R47H heterozygous vs isogenic WT (3 donor lines x 2 genotypes). Primary outcome: Rescue of A1 astrocyte signature (C3, LCN2, H2-D1 protein) by >=50% vs R47H vehicle
Use human iPSC-derived astrocyte-microglia co-cultures from TREM2 R47H heterozygous carriers vs isogenic controls to quantify amplified A1 astrocyte polarisation, then screen a focused panel of 24 anti-neuroinflammatory compounds for rescue of the A1 phenotype.
TREM2 R47H co-cultures will show >=2x increase in C3/LCN2 vs isogenic WT. >=3 compounds will rescue A1 markers by >=50% without >20% LDH release.
Primary: >=2 confirmed hits (>=50% C3 reduction, IC50 <10 uM, <20% LDH). Secondary: reproducibility across all 3 donor lines (CV <25%).
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