- Ramani, Anand;
- Pasquini, Giovanni;
- Gerkau, Niklas;
- Jadhav, Vaibhav;
- Vinchure, Omkar;
- Altinisik, Nazlican;
- Windoffer, Hannes;
- Muller, Sarah;
- Rothenaigner, Ina;
- Lin, Sean;
- Mariappan, Aruljothi;
- Rathinam, Dhanasekaran;
- Mirsaidi, Ali;
- Goureau, Olivier;
- Ricci-Vitiani, Lucia;
- DAlessandris, Quintino;
- Wollnik, Bernd;
- Muotri, Alysson;
- Freifeld, Limor;
- Jurisch-Yaksi, Nathalie;
- Pallini, Roberto;
- Rose, Christine;
- Busskamp, Volker;
- Gabriel, Elke;
- Hadian, Kamyar;
- Gopalakrishnan, Jay
Brain organoids offer unprecedented insights into brain development and disease modeling and hold promise for drug screening. Significant hindrances, however, are morphological and cellular heterogeneity, inter-organoid size differences, cellular stress, and poor reproducibility. Here, we describe a method that reproducibly generates thousands of organoids across multiple hiPSC lines. These High Quantity brain organoids (Hi-Q brain organoids) exhibit reproducible cytoarchitecture, cell diversity, and functionality, are free from ectopically active cellular stress pathways, and allow cryopreservation and re-culturing. Patient-derived Hi-Q brain organoids recapitulate distinct forms of developmental defects: primary microcephaly due to a mutation in CDK5RAP2 and progeria-associated defects of Cockayne syndrome. Hi-Q brain organoids displayed a reproducible invasion pattern for a given patient-derived glioma cell line. This enabled a medium-throughput drug screen to identify Selumetinib and Fulvestrant, as inhibitors of glioma invasion in vivo. Thus, the Hi-Q approach can easily be adapted to reliably harness brain organoids application for personalized neurogenetic disease modeling and drug discovery.