Feeding time for the miniature brains
It is Thursday morning and time for the miniature brains to have lunch. The temperature in the cell incubator is a comfortable 37 degrees, perfect for a tiny brain. Anna Falk prepares the nutrient solution that the cells need to grow. These are cells that have made the remarkable transformation from skin cells to stem cells and then to brain neurons.
The small model of the brain is called an organoid and is made up of reprogrammed induced pluripotent stem cells (iPSCs) that have been guided into differentiating into small, simplified brains. Anna Falk’s research focuses on genetic diseases of the brain’s neurons – in particular intellectual development disorders and neuropsychiatric diagnoses such as Down syndrome, autism and schizophrenia. By taking a skin biopsy from someone diagnosed with autism and reprogramming the cells, first into iPS cells and then into brain neurons, she can follow their development and compare to what happens in a miniature brain from a person without an autism diagnosis.
“The brain is what makes us human, but we know less about it than about other organs. It is therefore incredibly exciting to be able to follow its development in the early embryonic stage in our culture plates,” says Professor Anna Falk, Director of the LU-ATMP Centre and head of the Neural Stem Cells research group at Lund Stem Cell Center.
A "simple" process
The process of reprogramming skin cells into brain cells is “simple”. Anna Falk adds four genes to the culture plate containing the skin cells. With the help of a lipid or a weak electrical impulse, the surface of the skin cell is broken and the genes can enter. After just one day, it is possible to observe the skin cells changing into iPS cells under a microscope, but it takes another two weeks before the process is complete. Anna Falk can then add specific proteins and molecules to the nutrient solution to change the identity of the stem cells into neurons that build the miniature brain.
“It’s so incredibly amazing that it works every time. The ability of skin cells to rejuvenate and regress has fundamentally changed our view of foetal development, and a whole new field of research has been created.”
A brain after four weeks
After just four weeks, the iPS cells have developed into a miniature brain and Anna Falk can follow its growth under the microscope. She has discovered that the neurons from a person with autism develop more slowly and the projections are shorter compared to neurons from an undiagnosed individual. In the miniature brain, she has also observed that there are fewer neurons in people with autism.
“At the same time, it is difficult to draw a line of equivalence between what happens in a culture plate to real and more complex brains. There are several ‘rescue mechanisms’ in a real brain that can compensate when signals and growth go wrong.”
The miniature brain consists only of cells found in the brain. The next step is to try to construct blood vessel-like tissues to build a more complex model of a brain, where all parts have access to oxygen and nutrients. Many researchers are now trying their hand at this type of engineered tissue.
Identifying signals
Another way of using iPSCs to grow neurons from undiagnosed individuals, which are then transplanted into the brain to replace damaged and diseased brain cells. The aim is to identify which signals are important for the production of perfect neurons and how to treat those that are dysregulated.
“This would mean that we could treat developmental and neuropsychiatric disorders for which there is currently no treatment. I hope that my research will be part of revolutionising healthcare in the future in this way.”
Text and photo by: Åsa Hansdotter
This article was previously published in LUM February 2023
Anna Falk
is a Professor at Lund University's Faculty of Medicine and the Director of the LU-ATMP Centre. She heads the Neural Stem Cells research group which is affiliated with the Lund Stem Cell Center and the Strategic Research Area, StemTherapy.

What is a stem cell?
Stem cells are the origins of all cells in our bodies. They can divide an unlimited number of times and have the potential to develop into any type of cell in the body. They can be frozen, thawed and grown over a very long period of time.
There are different types of stem cells:
Embryonic stem cells are found in the foetus and are pluripotent. This means that they give rise to all future tissues and can become any organ in the body. They can even create a complete individual.
Adult stem cells are found in the adult human body – mainly in bone marrow but also in other tissues such as skin, the liver and adipose tissue. Their main task is to maintain and repair damaged cells.
Induced pluripotent stem cells (iPS cells) are cells that were previously “normal” tissue cells but have been reprogrammed to regress developmentally and regain their stem cell properties. From being, for example, a skin cell, the cell is now pluripotent again and can mature into any cell in the body.