Brain-on-a-chip (BoC) technology is an emerging human-relevant platform for investigating complex neuropsychiatric disorders, including major depressive disorder (MDD) and schizophrenia. By integrating microfluidic systems with human induced pluripotent stem cell (iPSC)-derived neural cells, three-dimensional cultures, multiregion architectures, microelectrode arrays, and biosensors, BoC platforms enable controlled investigation of neural connectivity, network activity, and cellular interactions. iPSC-based models provide disease-relevant phenotypes that may support the development of more complex psychiatric BoC systems; however, dedicated and comprehensively validated BoC models for MDD and schizophrenia remain limited. Important challenges include incomplete cellular maturation and complexity, limited vascular and immune integration, technical variability, long-term stability, and insufficient clinical validation. Future advances integrating patient-specific cells, artificial intelligence, multi-omics, and standardized multimodal measurements may improve disease modeling and therapeutic research. With rigorous disease-specific validation and stronger links to clinically characterized data, BoC technology may contribute to the future development of precision psychiatry.
Citation: Taslim Uddin, Adel Gouri, Faria Sharmin, Khadidja Belhouala, Nusrat Jahan Nisha, Nazifa Anjum, Susmita Biswas, Sajid Asgar, Sarah Tahera Mahmud, Afia Asma, Nayeemul Islam, Bachir Benarba. Brain-on-a-chip technology for modeling psychiatric disorders: A new frontier in precision psychiatry[J]. AIMS Neuroscience, 2026, 13(4): 618-634. doi: 10.3934/Neuroscience.2026028
Brain-on-a-chip (BoC) technology is an emerging human-relevant platform for investigating complex neuropsychiatric disorders, including major depressive disorder (MDD) and schizophrenia. By integrating microfluidic systems with human induced pluripotent stem cell (iPSC)-derived neural cells, three-dimensional cultures, multiregion architectures, microelectrode arrays, and biosensors, BoC platforms enable controlled investigation of neural connectivity, network activity, and cellular interactions. iPSC-based models provide disease-relevant phenotypes that may support the development of more complex psychiatric BoC systems; however, dedicated and comprehensively validated BoC models for MDD and schizophrenia remain limited. Important challenges include incomplete cellular maturation and complexity, limited vascular and immune integration, technical variability, long-term stability, and insufficient clinical validation. Future advances integrating patient-specific cells, artificial intelligence, multi-omics, and standardized multimodal measurements may improve disease modeling and therapeutic research. With rigorous disease-specific validation and stronger links to clinically characterized data, BoC technology may contribute to the future development of precision psychiatry.
| [1] |
Arias D, Saxena S, Verguet S (2022) Quantifying the global burden of mental disorders and their economic value. EClinicalMedicine 54: 101675. https://doi.org/10.1016/j.eclinm.2022.101675
|
| [2] |
Jalali H, Rahimian S, Shahsavarian N, et al. (2024) The organoid modeling approach to understanding the mechanisms underlying neurodegeneration: A comprehensive review. Life Sci 358: 123198. https://doi.org/10.1016/j.lfs.2024.123198
|
| [3] |
Rodrigues RO, Shin SR, Bañobre-López M (2024) Brain-on-a-chip: an emerging platform for studying the nanotechnology-biology interface for neurodegenerative disorders. J Nanobiotechnology 22: 573. https://doi.org/10.1186/s12951-024-02720-0
|
| [4] |
Dixon TA, Muotri AR (2023) Advancing preclinical models of psychiatric disorders with human brain organoid cultures. Mol Psychiatry 28: 83-95. https://doi.org/10.1038/s41380-022-01708-2
|
| [5] |
Marom A, Mahto SK, Shor E, et al. (2015) Microfluidic Chip for Site-Specific Neuropharmacological Treatment and Activity Probing of 3D Neuronal “Optonet” Cultures. Adv Healthc Mater 4: 1478-1483,1422. https://doi.org/10.1002/adhm.201400643
|
| [6] |
Bang S, Jeong S, Choi N, et al. (2019) Brain-on-a-chip: A history of development and future perspective. Biomicrofluidics 13: 051301. https://doi.org/10.1063/1.5120555
|
| [7] |
Zhang H, Huang N, Bian S, et al. (2025) Brain organoids-on-chip for neural diseases modeling: History, challenges and trends. J Pharm Anal 15: 101323. https://doi.org/10.1016/j.jpha.2025.101323
|
| [8] |
Shanks N, Greek R, Greek J (2009) Are animal models predictive for humans?. Philos Ethics Humanit Med 4: 2. https://doi.org/10.1186/1747-5341-4-2
|
| [9] | Zhang YS, Aleman J, Shin SR, et al. (2017) Multisensor-integrated organs-on-chips platform for automated and continual in situ monitoring of organoid behaviors. Proc Natl Acad Sci U S A 114: E2293-E2302. https://doi.org/10.1073/pnas.1612906114 |
| [10] |
Servais B, Mahmoudi N, Gautam V, et al. (2024) Engineering brain-on-a-chip platforms. Nat Rev Bioeng 2: 691-709. https://doi.org/10.1038/s44222-024-00184-3
|
| [11] |
Hong Y, Yang Q, Song H, et al. (2023) Opportunities and limitations for studying neuropsychiatric disorders using patient-derived induced pluripotent stem cells. Mol Psychiatry 28: 1430-1439. https://doi.org/10.1038/s41380-023-01990-8
|
| [12] |
Fahlman M, Fabiano S, Gueskine V, et al. (2019) Interfaces in organic electronics. Nat Rev Mater 4: 627-650. https://doi.org/10.1038/s41578-019-0127-y
|
| [13] |
Wan J, Zhou S, Mea HJ, et al. (2022) Emerging Roles of Microfluidics in Brain Research: From Cerebral Fluids Manipulation to Brain-on-a-Chip and Neuroelectronic Devices Engineering. Chem Rev 122: 7142-7181. https://doi.org/10.1021/acs.chemrev.1c00480
|
| [14] |
Obien ME, Deligkaris K, Bullmann T, et al. (2015) Revealing neuronal function through microelectrode array recordings. Front Neurosci 8: 423. https://doi.org/10.3389/fnins.2014.00423
|
| [15] |
Frega M, Tedesco M, Massobrio P, et al. (2014) Network dynamics of 3D engineered neuronal cultures: a new experimental model for in-vitro electrophysiology. Sci Rep 4: 5489. https://doi.org/10.1038/srep05489
|
| [16] |
Miccoli B, Braeken D, Li YE (2018) Brain-on-a-chip Devices for Drug Screening and Disease Modeling Applications. Curr Pharm Des 24: 5419-5436. https://doi.org/10.2174/1381612825666190220161254
|
| [17] |
Alam El Din DM, Moenkemoeller L, Loeffler A, et al. (2025) Human neural organoid microphysiological systems show the building blocks necessary for basic learning and memory. Commun Biol 8: 1237. https://doi.org/10.1038/s42003-025-08632-5
|
| [18] |
Li S, Liu Y, Hua S, et al. (2025) Advanced Brain-on-a-Chip for Wetware Computing: A Review. Adv Sci (Weinh) 12: e08120. https://doi.org/10.1002/advs.202508120
|
| [19] |
Low LA, Mummery C, Berridge BR, et al. (2021) Organs-on-chips: into the next decade. Nat Rev Drug Discov 20: 345-361. https://doi.org/10.1038/s41573-020-0079-3
|
| [20] |
Cerutti L, Brofiga M (2024) Unraveling brain diseases: The promise of brain-on-a-chip models. J Neurosci Methods 405: 110105. https://doi.org/10.1016/j.jneumeth.2024.110105
|
| [21] |
Ingber DE (2022) Human organs-on-chips for disease modelling, drug development and personalized medicine. Nat Rev Genet 23: 467-491. https://doi.org/10.1038/s41576-022-00466-9
|
| [22] |
Cerina M, Piastra MC, Frega M (2023) The potential of in vitro neuronal networks cultured on micro electrode arrays for biomedical research. Prog Biomed Eng 5: 032002. https://doi.org/10.1088/2516-1091/acce12
|
| [23] |
Castiglione H, Vigneron PA, Baquerre C, et al. (2022) Human Brain Organoids-on-Chip: Advances, Challenges, and Perspectives for Preclinical Applications. Pharmaceutics 14: 2301. https://doi.org/10.3390/pharmaceutics14112301
|
| [24] |
Smirnova L, Hartung T (2024) The Promise and Potential of Brain Organoids. Adv Healthc Mater 13: e2302745. https://doi.org/10.1002/adhm.202302745
|
| [25] |
Tan SY, Feng X, Cheng LKW, et al. (2023) Vascularized human brain organoid on-chip. Lab Chip 23: 2693-2709. https://doi.org/10.1039/D2LC01109C
|
| [26] |
Allwardt V, Ainscough AJ, Viswanathan P, et al. (2020) Translational Roadmap for the Organs-on-a-Chip Industry toward Broad Adoption. Bioengineering (Basel) 7: 112. https://doi.org/10.3390/bioengineering7030112
|
| [27] |
Avior Y, Ron S, Kroitorou D, et al. (2021) Depression patient-derived cortical neurons reveal potential biomarkers for antidepressant response. Transl Psychiatry 11: 201. https://doi.org/10.1038/s41398-021-01319-5
|
| [28] |
Vadodaria KC, Ji Y, Skime M, et al. (2019) Altered serotonergic circuitry in SSRI-resistant major depressive disorder patient-derived neurons. Mol Psychiatry 24: 808-818. https://doi.org/10.1038/s41380-019-0377-5
|
| [29] |
Vadodaria KC, Ji Y, Skime M, et al. (2019) Serotonin-induced hyperactivity in SSRI-resistant major depressive disorder patient-derived neurons. Mol Psychiatry 24: 795-807. https://doi.org/10.1038/s41380-019-0363-y
|
| [30] | Lu K, Hong Y, Tao M, et al. (2023) Depressive patient-derived GABA interneurons reveal abnormal neural activity associated with HTR2C. EMBO Mol Med 15: e16364. https://doi.org/10.15252/emmm.202216364 |
| [31] |
Miller AH, Raison CL (2016) The role of inflammation in depression: from evolutionary imperative to modern treatment target. Nat Rev Immunol 16: 22-34. https://doi.org/10.1038/nri.2015.5
|
| [32] |
Troubat R, Barone P, Leman S, et al. (2021) Neuroinflammation and depression: A review. Eur J Neurosci 53: 151-171. https://doi.org/10.1111/ejn.14720
|
| [33] |
Shahin MH, Liu Q (2025) Artificial Intelligence in Clinical and Translational Science: From Bench Insights to Bedside Impact. Clin Transl Sci 18: e70383. https://doi.org/10.1111/cts.70383
|
| [34] |
Réda C, Kaufmann E, Delahaye-Duriez A (2019) Machine learning applications in drug development. Comput Struct Biotechnol J 18: 241-252. https://doi.org/10.1016/j.csbj.2019.12.006
|
| [35] |
Rahman T, Lauriello J (2016) Schizophrenia: an overview. Focus 14: 300-307. https://doi.org/10.1176/appi.focus.20160006
|
| [36] |
Brennand KJ, Simone A, Jou J, et al. (2011) Modelling schizophrenia using human induced pluripotent stem cells. Nature 473: 221-225. https://doi.org/10.1038/nature09915
|
| [37] |
Page SC, Sripathy SR, Farinelli F, et al. (2022) Electrophysiological measures from human iPSC-derived neurons are associated with schizophrenia clinical status and predict individual cognitive performance. Proc Natl Acad Sci U S A 119: e2109395119. https://doi.org/10.1073/pnas.2109395119
|
| [38] |
Räsänen N, Tiihonen J, Koskuvi M, et al. (2022) The iPSC perspective on schizophrenia. Trends Neurosci 45: 8-26. https://doi.org/10.1016/j.tins.2021.11.002
|
| [39] |
Kim NS, Wen Z, Liu J, et al. (2021) Pharmacological rescue in patient iPSC and mouse models with a rare DISC1 mutation. Nat Commun 12: 1398. https://doi.org/10.1038/s41467-021-21713-3
|
| [40] | Orhan F, Malwade S, Khanlarkhani N, et al. (2023) Kynurenic acid promotes activity-dependent synaptic pruning in schizophrenia. bioRxiv . https://doi.org/10.1101/2023.10.19.563090 |
| [41] |
Bianco F, Tonna N, Lovchik RD, et al. (2012) Overflow microfluidic networks: application to the biochemical analysis of brain cell interactions in complex neuroinflammatory scenarios. Anal Chem 84: 9833-9840. https://doi.org/10.1021/ac302094z
|
| [42] |
Brennand K, Savas JN, Kim Y, et al. (2015) Phenotypic differences in hiPSC NPCs derived from patients with schizophrenia. Mol Psychiatry 20: 361-368. https://doi.org/10.1038/mp.2014.22
|
| [43] |
Nath SC, Menendez L, Friedrich Ben-Nun I (2023) Overcoming the Variability of iPSCs in the Manufacturing of Cell-Based Therapies. Int J Mol Sci 24: 16929. https://doi.org/10.3390/ijms242316929
|
| [44] |
West AR, Floresco SB, Charara A, et al. (2003) Electrophysiological interactions between striatal glutamatergic and dopaminergic systems. Ann N Y Acad Sci 1003: 53-74. https://doi.org/10.1196/annals.1300.004
|
| [45] |
Lassus B, Naudé J, Faure P, et al. (2018) Glutamatergic and dopaminergic modulation of cortico-striatal circuits probed by dynamic calcium imaging of networks reconstructed in microfluidic chips. Sci Rep 8: 17461. https://doi.org/10.1038/s41598-018-35802-9
|
| [46] |
Iannielli A, Ugolini GS, Cordiglieri C, et al. (2019) Reconstitution of the Human Nigro-striatal Pathway on-a-Chip Reveals OPA1-Dependent Mitochondrial Defects and Loss of Dopaminergic Synapses. Cell Rep 29: 4646-4656.e4. https://doi.org/10.1016/j.celrep.2019.11.111
|
| [47] |
Yu Y, de Campos RPS, Hong S, et al. (2019) A microfluidic platform for continuous monitoring of dopamine homeostasis in dopaminergic cells. Microsyst Nanoeng 5: 10. https://doi.org/10.1038/s41378-019-0049-2
|
| [48] |
Kim S, Kang S, Choe J, et al. (2023) A Microfluidic System for Investigating Anticipatory Medication Effects on Dopamine Homeostasis in Dopaminergic Cells. Anal Chem 95: 3153-3159. https://doi.org/10.1021/acs.analchem.2c04923
|
| [49] |
Abashkin DA, Kurishev AO, Karpov DS, et al. (2021) Cellular Models in Schizophrenia Research. Int J Mol Sci 22: 8518. https://doi.org/10.3390/ijms22168518
|
| [50] |
Tong Z, Kwak E, Aguiar A, et al. (2021) Compartmentalized microfluidic chambers enable long-term maintenance and communication between human pluripotent stem cell-derived forebrain and midbrain neurons. Lab Chip 21: 4016-4030. https://doi.org/10.1039/D1LC00505G
|
| [51] |
Ndyabawe K, Cipriano M, Zhao W, et al. (2021) Brain-on-a-Chip Device for Modeling Multiregional Networks. ACS Biomater Sci Eng 7: 350-359. https://doi.org/10.1021/acsbiomaterials.0c00895
|
| [52] |
Rouleau N, Murugan NJ, Kaplan DL (2023) Functional bioengineered models of the central nervous system. Nat Rev Bioeng 1: 252-270. https://doi.org/10.1038/s44222-023-00027-7
|
| [53] |
Nebuloni F, Do QB, Cook PR, et al. (2024) A fluid-walled microfluidic platform for human neuron microcircuits and directed axotomy. Lab Chip 24: 3252-3264. https://doi.org/10.1039/D4LC00107A
|
| [54] |
Poinsot M, Dos Santos M, Marthy B, et al. (2026) Biologically grounded on-chip model identifies selective topographic reorganization within hyperexcitable corticostriatal networks. Proc Natl Acad Sci U S A 123: e2513459123. https://doi.org/10.1073/pnas.2513459123
|
| [55] |
Drevets WC, Price JL, Furey ML (2008) Brain structural and functional abnormalities in mood disorders: implications for neurocircuitry models of depression. Brain Struct Funct 213: 93-118. https://doi.org/10.1007/s00429-008-0189-x
|
| [56] |
Chen P, Ye E, Jin X, et al. (2019) Association between Thalamocortical Functional Connectivity Abnormalities and Cognitive Deficits in Schizophrenia. Sci Rep 9: 2952. https://doi.org/10.1038/s41598-019-39367-z
|
| [57] |
Frimat JP, Luttge R (2019) The Need for Physiological Micro-Nanofluidic Systems of the Brain. Front Bioeng Biotechnol 7: 100. https://doi.org/10.3389/fbioe.2019.00100
|
| [58] |
Kim J, Yoon T, Kim P, et al. (2023) Manufactured tissue-to-tissue barrier chip for modeling the human blood-brain barrier and regulation of cellular trafficking. Lab Chip 23: 2990-3001. https://doi.org/10.1039/D3LC00124E
|
| [59] |
Jorfi M, D'Avanzo C, Kim DY, et al. (2018) Three-Dimensional Models of the Human Brain Development and Diseases. Adv Healthc Mater 7: 10.1002/adhm.201700723. https://doi.org/10.1002/adhm.201700723
|
| [60] |
Zhang B, Korolj A, Lai BFL, et al. (2018) Advances in organ-on-a-chip engineering. Nat Rev Mater 3: 257-278. https://doi.org/10.1038/s41578-018-0034-7
|
| [61] |
Tandon N, Bhumiratana S (2022) The Translational Mindset Is Essential for Taking Tissue-Engineered Therapeutics from Lab to Clinic. ACS Biomater Sci Eng 8: 4629-4633. https://doi.org/10.1021/acsbiomaterials.1c01396
|
| [62] |
Roy N, Cucullo L (2026) Organs-on-Chips in Drug Development: Engineering Foundations, Artificial Intelligence, and Clinical Translation. Biosensors (Basel) 16: 155. https://doi.org/10.3390/bios16030155
|
| [63] |
Lavazza A, Massimini M (2018) Cerebral organoids: ethical issues and consciousness assessment. J Med Ethics 44: 606-610. https://doi.org/10.1136/medethics-2017-104555
|
| [64] |
Bredenoord AL, Clevers H, Knoblich JA (2017) Human tissues in a dish: The research and ethical implications of organoid technology. Science 355: eaaf9414. https://doi.org/10.1126/science.aaf9414
|
| [65] |
Tarricone G, Carmagnola I, Chiono V (2022) Tissue-Engineered Models of the Human Brain: State-of-the-Art Analysis and Challenges. J Funct Biomater 13: 146. https://doi.org/10.3390/jfb13030146
|
| [66] |
Rouleau N, Murugan NJ, Kaplan DL (2021) Toward Studying Cognition in a Dish. Trends Cogn Sci 25: 294-304. https://doi.org/10.1016/j.tics.2021.01.005
|