Dendritic atrophy, defined as the reduction in complexity of the neuronal arborization, is a hallmark of several neurodevelopmental disorders, including Rett Syndrome (RTT). RTT, affecting 1:10,000 girls worldwide, is mainly caused by mutations in the MECP2 gene and has no cure. We describe here an in vitro model of dendritic atrophy in Mecp2 â/y mouse hippocampal primary cultures, suitable for phenotypic drug-screening. Using High-content imaging techniques, we systematically investigated the impact of culturing determinants on several parameters such as neuronal survival, total dendritic length, dendritic endpoints, soma size, cell clusterization, spontaneous activity. Determinants included cell-seeding density, glass or polystyrene substrates, coating with poly-ornithine with/without Matrigel and miniaturization from 24 to 96-half surface multiwell plates. We show that in all plate-sizes at densities below 320 cells/mm 2 , morphological parameters remained constant while spontaneous network activity decreased according to the cell-density. Mecp2 â/y neurons cultured at 160 cells/mm 2 density in 96 multiwell plates, displayed significant dendritic atrophy and showed a marked increase in dendritic length following treatment with Brain-derived neurotrophic factor (BDNF) or Mirtazapine. in conclusion, we have established a phenotypic assay suitable for fast screening of hundreds of compounds, which may be extended to other neurodevelopmental diseases with dendritic atrophy.Dendritic atrophy, defined as the reduction in branching complexity of neuronal dendritic processes, is a typical hallmark of several neurodevelopmental disorders 1-4 . With an incidence of 1:10,000 newborn girls, Rett syndrome (RTT) is one of the most common neurodevelopmental diseases with mental retardation in females 5 . In 90-95% of cases, the disease is caused by sporadic mutations in the MECP2 gene 6 . RTT is characterized by a period of early normal development followed by a regression phase, leading to loss of speech and acquired motor skills, presence of stereotypical hand movements, seizures and microcephaly 6 . Presently, there is no cure for Rett syndrome.Due to microcephaly, the brains of RTT patients show more closely packed neurons 7 and reduced dendritic complexity has been described in cerebral cortex, hypothalamus and hippocampus [8][9][10] . The dendritic atrophy observed in the cortex of RTT patients has been related to dysfunctions of neural networks and intellectual disability 9 , similarly to other neurodevelopmental disorders such as Fragile-X syndrome and Down syndrome 1,7 . Accordingly, modelling dendritic atrophy for these diseases is extremely important.Notably, in mouse models for Rett syndrome, reduced brain dimensions and dendritic atrophy has been found in the same brain regions as in humans 11,12 . We previously showed that in vivo treatment of Mecp2 â/y mice with the antidepressant Mirtazapine was able to rescue cortical thickness, neuronal soma area and apical dendrites diameter counteracting breathing abnorma...