Image-Based Profiling of Induced Trophoblast Stem Cells Identifies Signatures Associated with Sex, Schizophrenia Genomic Risk and Placental Stress.

Schizophrenia (SCZ) is a neurodevelopmental disorder where both genetic and environmental risks converge during pregnancy. Recent studies have highlighted the importance of placental biology in influencing risk of developing SCZ. However, the pathways by which genetic risk factors for SCZ interact with environmental influences to alter placental development are poorly understood. Through image-based profiling using Cell Painting, we leveraged trophoblast cultures derived from human induced pluripotent stem cells (hiPSCs) from male and female SCZ and neurotypical donors with varying placental genomic risk scores (PlacGRS) to explore the developmental dynamics of placental cells under normal growth and hypoxic stress. We employed both classical (e.g., CellProfiler) and deep learning feature extraction combined with downstream supervised machine learning to analyze high-dimensional data obtained from this hiPSC-derived model system, highlighting that these approaches overcome the inherent line-to-line variability in phenotypic analysis. Our findings reveal a salient nucleus-localized SCZ risk signature across cell lines, along with clear sexual dimorphism. This research underscores the capability of hiPSC-derived placenta models to elucidate complex interactions between genetic risk and environmental factors implicated in the neurodevelopment of SCZ, paving the way for future studies aimed at developing targeted therapeutic and prevention strategies.