TY - JOUR KW - Blood–brain barrier KW - Experimental models of disease KW - Stem-cell differentiation KW - Stroke AU - Judit González-Gallego AU - Katalin Todorov-Völgyi AU - Stephan A. Müller AU - Sophie Antesberger AU - Mihail Ivilinov Todorov AU - Rainer Malik AU - Rita Grimalt-Mirada AU - Carolina Cardoso Gonçalves AU - Martina Schifferer AU - Georg Kislinger AU - Isabel Weisheit AU - Barbara Lindner AU - Dennis Crusius AU - Joseph Kroeger AU - Mila Borri AU - Ali Erturk AU - Mark Nelson AU - Thomas Misgeld AU - Stefan F. Lichtenthaler AU - Martin Dichgans AU - Dominik Paquet AB - Blood–brain barrier (BBB) integrity is critical for brain homeostasis, with malfunctions contributing to neurovascular and neurodegenerative disorders. Mechanistic studies on BBB function have been mostly conducted in rodent and in vitro models, which recapitulate some disease features, but have limited translatability to humans and pose challenges for drug discovery. Here we report on a fully human induced pluripotent stem (iPS)-cell-derived, microfluidic three-dimensional (3D) BBB model consisting of endothelial cells (ECs), mural cells and astrocytes. Our model expresses typical fate markers, forms a barrier in vessel-like tubes and enables perfusion, including with human blood. Deletion of FOXF2 in ECs, a major risk gene for cerebral small vessel disease, induced key features of BBB dysfunction, including compromised cell junction integrity and enhanced caveolae formation. Proteomic analysis revealed dysregulated endocytosis and cell junction pathways. Disease features phenocopied those seen in mice with EC-specific Foxf2 deficiency. Moreover, lipid-nanoparticle-based treatment with Foxf2 mRNA rescued BBB deficits, demonstrating the potential for drug development. BT - Nature Neuroscience DA - 2025-12-15 DO - 10.1038/s41593-025-02123-w LA - en N2 - Blood–brain barrier (BBB) integrity is critical for brain homeostasis, with malfunctions contributing to neurovascular and neurodegenerative disorders. Mechanistic studies on BBB function have been mostly conducted in rodent and in vitro models, which recapitulate some disease features, but have limited translatability to humans and pose challenges for drug discovery. Here we report on a fully human induced pluripotent stem (iPS)-cell-derived, microfluidic three-dimensional (3D) BBB model consisting of endothelial cells (ECs), mural cells and astrocytes. Our model expresses typical fate markers, forms a barrier in vessel-like tubes and enables perfusion, including with human blood. Deletion of FOXF2 in ECs, a major risk gene for cerebral small vessel disease, induced key features of BBB dysfunction, including compromised cell junction integrity and enhanced caveolae formation. Proteomic analysis revealed dysregulated endocytosis and cell junction pathways. Disease features phenocopied those seen in mice with EC-specific Foxf2 deficiency. Moreover, lipid-nanoparticle-based treatment with Foxf2 mRNA rescued BBB deficits, demonstrating the potential for drug development. PY - 2025 SP - 1 EP - 14 T2 - Nature Neuroscience TI - A fully iPS-cell-derived 3D model of the human blood–brain barrier for exploring neurovascular disease mechanisms and therapeutic interventions UR - https://www.nature.com/articles/s41593-025-02123-w Y2 - 2026-01-14 SN - 1546-1726 ER -