An alternate method to generate human MNs in vitro is described as induced-MNs (iMN)28 (link). This process circumvents reprogramming to pluripotency by directly converting patient somatic cells to MNs through transgenic expression of transcription factors that drive MN differentiation. By avoiding the epigenetic “reset” that occurs during reprogramming to pluripotency132 (link), this approach has been shown to maintain age-related epigenetic signatures accrued over the lifetime of the patient133 . iMNs display unique age-related cellular defects not observed in hPSC-MN approaches. However, these approaches are challenged by genomic instability resulting from increased somatic cell expansion requirements, as well as deficient MN maturation in vitro.
It is widely accepted that the maturation status of iPSC-derived cells remains a significant hurdle to the field of regenerative medicine at large, and yet it remains largely under-explored in humans4 (link). The ability to harness cell signaling to promote maturation in vitro, rests on increased understanding of anatomical, molecular and electrophysiological data from fetal, adult and aged human spinal post mortem tissue. Projects such as the Allen Brain Atlas provide valuable templates to guide anatomical- and genomic-level evaluation of native human MN maturation and aging. However, detailed functional data on human MNs are lacking and therefore, comparative evaluation of functional maturity relies largely upon the characterization of other mammalian species, often at cost to fidelity.