%0 Journal Article %T Rapid iPSC inclusionopathy models shed light on formation, consequence, and molecular subtype of α-synuclein inclusions. %A Lam I %A Ndayisaba A %A Lewis AJ %A Fu Y %A Sagredo GT %A Kuzkina A %A Zaccagnini L %A Celikag M %A Sandoe J %A Sanz RL %A Vahdatshoar A %A Martin TD %A Morshed N %A Ichihashi T %A Tripathi A %A Ramalingam N %A Oettgen-Suazo C %A Bartels T %A Boussouf M %A Schäbinger M %A Hallacli E %A Jiang X %A Verma A %A Tea C %A Wang Z %A Hakozaki H %A Yu X %A Hyles K %A Park C %A Wang X %A Theunissen TW %A Wang H %A Jaenisch R %A Lindquist S %A Stevens B %A Stefanova N %A Wenning G %A van de Berg WDJ %A Luk KC %A Sanchez-Pernaute R %A Gómez-Esteban JC %A Felsky D %A Kiyota Y %A Sahni N %A Yi SS %A Chung CY %A Stahlberg H %A Ferrer I %A Schöneberg J %A Elledge SJ %A Dettmer U %A Halliday GM %A Bartels T %A Khurana V %J Neuron %V 112 %N 17 %D 2024 Sep 4 %M 39079530 %F 18.688 %R 10.1016/j.neuron.2024.06.002 %X The heterogeneity of protein-rich inclusions and its significance in neurodegeneration is poorly understood. Standard patient-derived iPSC models develop inclusions neither reproducibly nor in a reasonable time frame. Here, we developed screenable iPSC "inclusionopathy" models utilizing piggyBac or targeted transgenes to rapidly induce CNS cells that express aggregation-prone proteins at brain-like levels. Inclusions and their effects on cell survival were trackable at single-inclusion resolution. Exemplar cortical neuron α-synuclein inclusionopathy models were engineered through transgenic expression of α-synuclein mutant forms or exogenous seeding with fibrils. We identified multiple inclusion classes, including neuroprotective p62-positive inclusions versus dynamic and neurotoxic lipid-rich inclusions, both identified in patient brains. Fusion events between these inclusion subtypes altered neuronal survival. Proteome-scale α-synuclein genetic- and physical-interaction screens pinpointed candidate RNA-processing and actin-cytoskeleton-modulator proteins like RhoA whose sequestration into inclusions could enhance toxicity. These tractable CNS models should prove useful in functional genomic analysis and drug development for proteinopathies.