TY - JOUR KW - Cell biology KW - Cellular neuroscience KW - Scientific community AU - Laura Castro-Aldrete AU - Melanie Einsiedler AU - Carla Cuní-López AU - Quentin Vanhaelen AU - Antonia Silvestri AU - Maria Teresa Ferretti AU - Martina Elena de Gennaro AU - Guido Putignano AU - Maria Guix AU - Nicola Marino AU - Liisa A. M. Galea AU - Kerstin Lenk AU - Samantha Paoletti AU - Alex Zhavoronkov AU - Antonella Santuccione Chadha AB - Although in vitro models are valuable tools for modelling neurological disorders such as neurodegenerative diseases and neuropsychiatric disorders, it remains unclear whether and how biological sex characteristics should be considered when designing experiments. The historical failure to incorporate sex as a biological variable and acknowledge sex and gender differences in preclinical and clinical research has created a translation gap, which is only now beginning to be addressed. Sex effects are observed across mechanisms in common neuropsychiatric and neurodegenerative disorders. Therefore, it is imperative to incorporate sex differences into both in vitro and in vivo models to develop more precise and sustainable research tools for brain disorders. Such an approach will enable researchers to account for the physiological and pathological characteristics of male and female brains, improving the replicability and translatability of research results. In this Review, we discuss in vitro models of increasing complexity used for exploring pathological mechanisms and pharmacological target development. We address the advantages and challenges of using in vitro models to investigate sex differences in neurological disorders, starting with the types of cells used in in vitro models, including immortalized cell lines, primary cultures, induced pluripotent stem cells, up to 3D organoid and organ-on-a-chip models. Furthermore, we propose a roadmap and discussion of best practices to incorporate sex as a biological variable into in vitro models of neurodegenerative diseases and neuropsychiatric disorders. BT - Nature Reviews Bioengineering DA - 2025-10-13 DO - 10.1038/s44222-025-00355-w LA - en N2 - Although in vitro models are valuable tools for modelling neurological disorders such as neurodegenerative diseases and neuropsychiatric disorders, it remains unclear whether and how biological sex characteristics should be considered when designing experiments. The historical failure to incorporate sex as a biological variable and acknowledge sex and gender differences in preclinical and clinical research has created a translation gap, which is only now beginning to be addressed. Sex effects are observed across mechanisms in common neuropsychiatric and neurodegenerative disorders. Therefore, it is imperative to incorporate sex differences into both in vitro and in vivo models to develop more precise and sustainable research tools for brain disorders. Such an approach will enable researchers to account for the physiological and pathological characteristics of male and female brains, improving the replicability and translatability of research results. In this Review, we discuss in vitro models of increasing complexity used for exploring pathological mechanisms and pharmacological target development. We address the advantages and challenges of using in vitro models to investigate sex differences in neurological disorders, starting with the types of cells used in in vitro models, including immortalized cell lines, primary cultures, induced pluripotent stem cells, up to 3D organoid and organ-on-a-chip models. Furthermore, we propose a roadmap and discussion of best practices to incorporate sex as a biological variable into in vitro models of neurodegenerative diseases and neuropsychiatric disorders. PY - 2025 SP - 1 EP - 22 T2 - Nature Reviews Bioengineering TI - Modelling sex differences of neurological disorders in vitro UR - https://www.nature.com/articles/s44222-025-00355-w Y2 - 2025-10-24 SN - 2731-6092 ER -