Human iPSC Models of Ganglioside Deficiency Reveal a Sialylated Lipid Requirement for Plasma-Membrane Organization and Neuronal Activity
Using human iPSC-derived cortical neurons, this study reveals that while both ST3GAL5 and B4GALNT1 deficiencies eliminate major gangliosides, only ST3GAL5 loss triggers a fatal reprogramming of the lipid repertoire that depletes plasma membrane proteins and abolishes neuronal activity, whereas B4GALNT1 deficiency is compensated by precursor sialylated lipids that preserve membrane organization and electrical function.