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Item Induction of astrocyte reactivity promotes neurodegeneration in human pluripotent stem cell models(Elsevier, 2024) Gomes, Cátia; Huang, Kang-Chieh; Harkin, Jade; Baker, Aaron; Hughes, Jason M.; Pan, Yanling; Tutrow, Kaylee; VanderWall, Kirstin B.; Lavekar, Sailee S.; Hernandez, Melody; Cummins, Theodore R.; Canfield, Scott G.; Meyer, Jason S.; Medical and Molecular Genetics, School of MedicineReactive astrocytes are known to exert detrimental effects upon neurons in several neurodegenerative diseases, yet our understanding of how astrocytes promote neurotoxicity remains incomplete, especially in human systems. In this study, we leveraged human pluripotent stem cell (hPSC) models to examine how reactivity alters astrocyte function and mediates neurodegeneration. hPSC-derived astrocytes were induced to a reactive phenotype, at which point they exhibited a hypertrophic profile and increased complement C3 expression. Functionally, reactive astrocytes displayed decreased intracellular calcium, elevated phagocytic capacity, and decreased contribution to the blood-brain barrier. Subsequently, co-culture of reactive astrocytes with a variety of neuronal cell types promoted morphological and functional alterations. Furthermore, when reactivity was induced in astrocytes from patient-specific hPSCs (glaucoma, Alzheimer's disease, and amyotrophic lateral sclerosis), the reactive state exacerbated astrocytic disease-associated phenotypes. These results demonstrate how reactive astrocytes modulate neurodegeneration, significantly contributing to our understanding of a role for reactive astrocytes in neurodegenerative diseases.Item Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers(Springer Nature, 2023) Shaffer, Rebecca C.; Schmitt, Lauren M.; Reisinger, Debra L.; Coffman, Marika; Horn, Paul; Goodwin, Matthew S.; Mazefsky, Carla; Randall, Shelley; Erickson, Craig; Pediatrics, School of MedicineIndividuals with autism spectrum disorder (ASD) experience behavioral and emotional symptoms hypothesized to arise from emotion dysregulation (ED), difficulty modulating emotional experience, expression, and intensity in an acceptable and contextually appropriate manner. We developed Regulating Together (RT)—an intensive-outpatient, caregiver-assisted group program to meet the ASD + ED intervention critical need. A within-subjects trial was conducted (5-week-control lead-in period, 5-week-treatment, and 5-and 10-weeks-post-treatment follow-ups). Forty-four youth with ASD + ED (25 8–12, 19 13–18 yr-olds, 88% male, mean FSIQ of 96) participated. Improvements were found in reactivity, emotion regulation knowledge, and flexibility post-treatment and 10-weeks post-treatment. A reduction in inpatient hospitalization rates by 16% from the 12 months pre-RT to 12 months post-RT was observed. RT shows promise to reduce ED in ASD.