Abstract Cellular crosstalk is an essential process influenced by numerous factors including secreted vesicles that transfer nucleic acids, lipids, and proteins between cells. Extracellular vesicles (EVs) have been the center of many studies focusing on neuron-to-neuron communication, but the role of EVs in progenitor-to-neuron and -astrocyte communication and whether EVs display cell-type-specific features for cellular crosstalk during neurogenesis is unknown. Here, using human-derived cerebral organoids, neural progenitors, neurons, and astrocytes, we found that many proteins coded by genes associated with neurodevelopmental disorders are transported via EVs. Thus, we characterized the protein content of EVs and showed their cell type-specific dynamics and function during brain development. Changes in the physiological crosstalk between cells can lead to neurodevelopmental disorders. EVs from patients with epilepsy were found altered in composition and function. Alterations in the intracellular and extracellular compartments highlighted a clear dysregulation of protein trafficking. This study sheds new light on the biology of EVs during brain development and neurodevelopmental disorders. Abstract Figure Graphical abstract (left) EV uptake mechanism varies depending on the receiving cell type; NPCs transport neuron EVs (nEVs) and astrocyte EVs (aEVs) to the nucleus, astrocytes localize progenitor EVs (pEVs) to the cytoplasm, and neurons retain pEVs and aEVs along the plasma membrane. (right) Cerebral organoids (COs) from progressive Myoclonus Epilepsy Type I (EPM1) patients release EVs lacking key proteins in neurodevelopment and proteins necessary for EV biogenesis and release. Illustration created using BioRender.

Extracellular vesicle-mediated trafficking of developmental cues is altered during human brain disease