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Review | Open Access | Online First

Brain organoids and brain disease organoids modeling in the age of artificial intelligence

Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai 200040, China
Shanghai LiSheng Biotech, Shanghai 200092, China
Organ Regeneration X Lab, LiSheng East China Institute of Biotechnology, Peking University, Nantong 226299, China
AGRI-animal organoid institute, South China Agricultural University, Guangzhou 510642, China
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Abstract

The human brain governs bodily functions with exceptional complexity, yet neuroscience research is hindered by limited access to authentic human tissues, restricted availability of region-specific specimens, and a lack of physiologically relevant experimental models. Brain organoids and disease-specific brain organoids have emerged as transformative research platforms to address these bottlenecks. This review systematically summarizes advances in normal brain organoids, including cortical, cerebellar, meningeal, cerebrovascular, and blood–brain barrier models, as well as disease organoids recapitulating glioma, neurodegeneration, psychiatric disorders, neurodevelopmental defects, epilepsy, stroke and other neurological conditions. We highlight seven key translational advances of brain organoids in targeted therapy development, drug discovery and repurposing, brain–organ crosstalk, tumor brain metastasis, and longevity research. We further discuss the frontier interplay between carbon-based brain organoids and silicon-based artificial intelligence. Integrating stem cell biology, tissue engineering and clinical neuroscience, brain organoids greatly advance mechanistic research of neurological diseases and provide promising platforms for personalized medicine and regenerative therapeutics.

Graphical Abstract

This comprehensive review charts the translation of human brain organoids from foundational neurodevelopmental models to advanced platforms for disease modeling, therapeutic discovery, and hybrid biocomputing. The authors survey region-specific, vascularized, and neuroimmune systems, critically evaluating preclinical capabilities across central nervous system neoplasms, neurodegenerative diseases, and psychiatric disorders. Finally, the review explores the frontier of organoid intelligence (OI) via the “Patient-Avatar” framework and evaluates the evolving global regulatory landscape, highlighting China’s pioneering 2025 national ethical guidelines for high-risk stem cell research.

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Cite this article:
Long J, Han X. Brain organoids and brain disease organoids modeling in the age of artificial intelligence. Cell Organoid, 2026, https://doi.org/10.26599/CO.2026.9410024

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Received: 23 February 2026
Revised: 29 May 2026
Accepted: 04 June 2026
Published: 07 July 2026
© The Author(s) 2026. Published by Tsinghua University Press

The articles published in this open access journal are distributed under the termsof the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution andreproduction in any medium, provided the original work is properly cited.