This preprint (DOI 10.1101/2025.08.06.667201) presents a well-engineered, human iPSC-derived 3D neuron-on-chip model that reveals a reproducible biphasic neuronal response to focal weight-drop injury β early hyper-synchronized/excitotoxic activity with calpain/caspase activation and later network fragmentation with pTau/NFT accumulation and a temporally-structured neuronal secretome β supporting a neuron-autonomous route to tauopathy-like features in vitro (detailed critique below)
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The study delivers a compelling, human-relevant in vitro platform and convergent functional/biochemical evidence that neuron-intrinsic responses to focal mechanical insult can produce an early excitotoxic phase followed by network decomposition and tauopathy-like features. Strengths are the integration of network metrics with biochemical secretome profiling and morphological Tau readouts. Key caveats remain: neuron-only culture limits in vivo generalizability; some endpoints use pooled/limited replicates and longitudinal single-cell causality is not yet established. Reproducibility will hinge on public release of CADs, raw calcium movies, and secretome data; the platform is a strong tool for mechanistic and screening studies when used with the proposed follow-up validations
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