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Tfeb-mediated transcriptional regulation of autophagy induces









                                                                                                                                   autosis during ischemia/reperfusion in the heart














                                                                                                                                                                                                                                                                                                      2
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                                                                                                                                                                                                        1,2
                                                                                                                                                                                                                                                                                                                                                              2
                                                                                                                                                                       Jihoon Nah , Eun-Ah Sung , Peiyong Zhai , Daniela Zablocki , and Junichi Sadoshima                                                                                                                                                                             2



                                                                                                                                               1 School of Biological Science, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 08826, Republic of Korea.


                                                                                                                                               2 Department of Cell Biology and Molecular Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA









           Abstract                                                                                                                                                                         A                                                            B                                          C                                                        A                                                                                                    B







                                                                                                                                                                                                     Sham     Is.   IR 2h IR 6h IR 24h                                                                                                                                                                IR24h
                                                                                                                                                                                          MW kDa                                                              2                                       10                 *
                                                                                                                                                                                                                                                                                                        10
                                                                                                                                                                                               70                                            Tfeb            2.0 .0                  **    *             8 8                        **                                                                                                                                            15
                                                                                                                                                                                                                                                              1
      Autosis is a unique form of cell death with characteristic morphological                                                                                                                 70                                            TFE3          Tfeb/αTubulin  1.5 .5                      TFE3/αTubulin  6 6                                                                   AVs
                                                                                                                                                                                                                                                             1.0 .0
                                                                                                                                                                                                                                                              1
                                                                                                                                                                                                                                                                                                         4 4
      and biochemical features caused by dysregulated autophagy. Autosis is                                                                                                                    70                                            ATP6V1B1        0.5 .5                                    22                                                                                                                                                                       10 10
                                                                                                                                                                                                                                                              0
                                                                                                                                                                                               70                                            ATP6V1A
                                                                                                                                                                                                                                                              0
      observed in the heart during the late phase of ischemia/reperfusion (I/R),                                                                                                               55                                            αTubulin         0 .0  Sham  Is. IR2h IR6h IR24h          00  Sham   Is. IR2h  IR6h IR24h                                                                                                                                      Number of electron densed mitochondria/area (Phase 1a) 15  **

      when marked accumulation of autophagosomes is induced. We have                                                                                                                                                                                                                                                                                                                                                                                                             5  5


      shown previously that excessive accumulation of autophagosomes                                                                                                                      D



      promotes autosis in cardiomyocytes. Although the inhibition of                                                                                                                      MW kDa       Sham      IR 2h    IR 6h    IR 24h                                                                                                                                                                                                                                        0  0  Ctrl.  shTfeb


      autophagic flux via upregulation of Rubicon induces accumulation of                                                                                                                       70                                           Tfeb          E                                        F


      autophagosomes during I/R, it appears that additional mechanisms                                                                                                                          70                                           LaminB1              6                     **                 1.5
                                                                                                                                                                                                                                                                                                            1.5

      exacerbating autophagosome accumulation are required for the induction                                                                                                                                                                                      44         **    **                      1.0                *    **
                                                                                                                                                                                                                                                                                                            1.0
                                                                                                                                                                                                55                                           αTubulin             Nuclear Tfeb/LaminB1 6                                                                                                                                                                         C
      of autosis. Here we show that Tfeb contributes to the induction of                                                                                                                                                                                       Relative                                Relative   Cytosolic Tfeb/αTubulin  1.5

                                                                                                                                                                                                                Nuclear fraction                                  22                                        0.5
      autosis during the late phase of I/R in the heart. During myocardial                                                                                                                                                                                                                                  0.0 0                                                                                                                                                                10


      reperfusion, Tfeb is activated and translocated into the nucleus, which in                                                                                                                70                                           Tfeb                 0 0  Sham IR2h IR6h   IR24h                 Sham IR2h IR6h      IR24h                                                                                                                                           8
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  6
      turn upregulates genes involved in autophagy and lysosomal function.                                                                                                                      70                                           LaminB1                                                                                                                                     PNS                                                                                  Cells with PNS (Phase 2; %)  4  **


      Overexpression of Tfeb enhanced cardiomyocyte death induced by a                                                                                                                                                                                                                                                                                                                                                                                                            2

                                                                                                                                                                                                55                                           αTubulin                                                                                                                                                             Chromatin
      high dose of TAT-Beclin 1, an effect that was inhibited by                                                                                                                                                                                                                                                                                                                                                  Condensation                                                    0

                                                                                                                                                                                                              Cytosolic fraction                                                                                                                                                                                                                                                      Ctrl.    shTfeb
      downregulation of Atg7. Conversely, knock-down of Tfeb attenuated                                                                                                                                                                                                                                                                                                               Ctrl                            AAV-shTfeb


      high dose TAT-Beclin1-induced death in cardiomyocytes. Although                                                                                                            Figure 2. Tfeb is translocated into the nucleus in response to I/R.


      down-regulation of Tfeb in the heart significantly decreased the number                                                                                                    Three-month-old mice were subjected to 30 minutes of ischemia with                                                                                                          D                                                                         E                                        F


      of autophagic vacuoles and inhibited autosis during I/R, activation of                                                                                                     reperfusion for the times indicated. A - C. Heart lysates were analyzed                                                                                                                                                                                                  p < 0.05                                  n.s.


      Tfeb activity by 3,4-dimethoxychalcone, an activator of Tfeb,                                                                                                              by Western blot. D - F. The mouse heart samples were subjected to



      aggravated myocardial injury during I/R. These findings suggest that                                                                                                       nuclear fractionation. Both the nuclear and cytosolic fractions were


      Tfeb promotes cardiomyocyte autosis during the late phase of                                                                                                               analyzed by Western blot analyses (D). The relative ratio of nuclear Tfeb


      reperfusion in the heart.                                                                                                                                                  (E) and cytosolic Tfeb (F) was quantified.


      Key words : Autophagic cell death, Autosis, Tfeb, Ischemia/reperfusion                                                                                                                                                                                                                                                                                                     Control                      AAV-shTfeb







                                                                                                                                                                                          A
           Summary                                                                                                                                                                      MW kDa             Scramble             Tat-Beclin1                       B                                 C                                                  Figure 5. Downregulation of Tfeb attenuates autosis but aggravates
                                                                                                                                                                                                                                                                                                                                                       I/R injury. AAV9-shTfeb-IRES-GFP was injected into the jugular vein


                                                                                                                                                                                              70                                                   Tfeb                  Tfeb/Gapdh                            pTfeb(Ser142)/Tfeb                      (1.5 × 1012 vg per 10 g for 4 weeks). Four weeks later, mice were




                                                                                                                                                                                              70                                                  p-Tfeb                                                                                               subject to 30 minutes of ischemia and 24 hours of reperfusion. The heart
                                                                                                                                                                                                                                                  (Ser 142)
       1) Ischemia / early reperfusion 2) Late reperfusion                                                                                                                                     37                                                  Gapdh                                                                                               samples were subjected to electron microscopic analyses (A-C).

                                                                                                                                                                                                                                                                                                                                                       Representative images of LV myocardial sections after Alcian blue and


               Protective Autophagy                                                                                  Autosis                                                                                                                                                                                                                           triphenyltetrazolium chloride (TTC) staining (D). The ratios of the




                                                                                                                                                                                         D                                             F                                            F                    lacZ                                          infarction area to area at risk (AAR) (E) and AAR to total LV (F) are


                                                                                                                                                                                                                                                                                                         Ad-Tfeb
                                                              Isolation                                           Tfeb activation                                                                                                                                                                       n.s.                                           shown.


                                                           membrane                                                                                                                        MW kDa                                     MW kDa                                                   1.0                    **      n.s.                           A                                                                        B                         **              C

                                                                                       Rubicon                                                                                                   70                     Tfeb               70                         Atg7                                           *                                         3,4-DC          -     3     24       -     3     24 (hours)                            5                                      1 .5


                                                                                                                                                                                                                                                                                                                                                                                                                                                      4

                                      Recycle                                                                                                                                                    37                     Gapdh               37                        Gapdh                  Relative cell survival (fold)  0.5                            MW(kDa)                                                       Tfeb                         3                                Ratio of cytosolic Tfeb  1 .0
                                                                                                                                                                                                                                                                                                                                                                    55

                                                                                                                              Autophagosome                                                                                                                                                                                                                         55                                                   αTubulin              Ratio of nucleus Tfeb  /Histone H3  2  n.s.   0 .5


                                                                                                                                                                                                                                                                                               0.0
                                                                                                                                                                                                                                                                                                  Scrambled       TB1 TB1/shAtg7                                    15                                                   Histone H3                   1                                    /αTubulin

                  Lysosome                                                                                                                                                                                                                                                                                                                                                                                                                            0                                      0 .0

                                                                                                                                                                                                                                                                                                                                                                                 Cytosol             Nucleus                                 3,4-DC (ho-         3     24             3,4-DC (ho-         3    24
                                                                                                                                                                                                                                                                                                                                                                                                                                             urs)                                     urs)
                                                                                                                       Rubicon                                                   Figure 3. Tat-Beclin1-induced autosis is regulated by Tfeb


                                                                                                                                                                                 modulation in NRCMs. A - C. NRCMs were treated with 5 µM                                                                                                                    D                                          E                                              F


                                                                                                                                                                                 Scrambled or Tat-Beclin 1 for 6 hours and analyzed by Western blotting.                                                                                                                  1.5     Tfeb                                        Hexb                               30         ns
                                                                                                                                                                                                                                                                                                                                                                                   Tfeb

           Results                                                                                                                                                               Cell death was quantified by CellTiter-Blue assays (mean values ±S.D.,                                                                                                                   1.0                                                                                    20



                                                                                                                                                                                 n=16; *p < 0.05, **p < 0.01, not significant (n.s.)). D - F. NRCMs were


                                                                                                                                                                                 transduced with either Ad-lacZ or Ad-Tfeb with or without Ad-shAtg7                                                                                                                   Relative mRNA Relative mRNA  0.5            Relative mRNA                              FS(%)  FS (%)  10


                                                                                                                                                                                 as indicated for 48 hours and then treated with 5 µM Scrambled or Tat-
        A                                                                       B                                                                                                                                                                                                                                                                                         0.0 Vehicle 3,4-DC                            Vehicle 3,4-DC                            0 Vehicle 3,4-DC


                    1
                  Akt1                                           2.0>         2.0                 Tfeb    *                       Tfe3                                           Beclin 1 for 3 hours. Cell death was quantified by CellTiter-Blue assays.                                                                                                                    Vehicle  3'4'-DC                                                                     Vehicle
               Ambra1                                            1.5          1.5           3                               8            **                                                                                                                                                                                                                                                                                                                              +3'4'-DC
                    3
                   App                                                                             *                        6
                 Atg10                                           1.0          1.0           2
                    5
               Atg16l1                                                                                                      4                                                                                                                                                                                                                                G                                                                    H                                    I
               Atg16l2                                           0.5          0.5       Relative mRNA                  Relative mRNA
                    7
                  Atg3                                             0                       expression  1                    0 expression  2                                             A                                                                                            B                                                                                                  I/R (24 h)
                 Atg4a                                                        0                                                                                                                                                                                                                                                                                                                                                          80                                      50
                    9
                 Atg4b                                                                      0                                                                                                                Ctrl                        AAV-shTfeb-GFP                                                                                                                  Vehicle                     +3,4-DC                                           **                                     n.s.
                 Atg4c                                                                                                                                                                                                                                                                                       Ctrl.              **
                  11
                 Atg4d                                                                                                                                                                                                                                                                                                                                                                                                                                                           40
                  Atg5                                                                                                                                                                                                                                                                           1.5         AAV-shTfeb                                                                                                                  60
                  13
                  Atg7
                 Atg9a                                                   C                                     Autophagy                                                                                                                                                                                     **                                                                                                                                                                  30
                  15
                 Atg9b                                                                                                                                                                                                                                                                        mRNA (fold)                                                                                                                             Infarct/AAR (%)  40                      AAR/LV (%)
                   Bcl2
                  17
                 Bcl2l1                                                          1.5     Atg12   **   2.0      Becn1       1.5   Gabarap         3     Vps11   **                                                                                                                                1.0                                                                                                                                                                             20
                 Bnip3                                                                                        **   * **                                                                                                                                                                                                                                                                                                                  20
                  19
               Cdkn1b                                                                                 1.5                                               **  **                                                                                                                                                                                                                                                                                                                   10
               Cdkn2a                                                            1.0                                       1.0                   2
                  21                                                         Relative mRNA            1.0                                                                                                                                                                                        0.5                                                                                                                                       0                                       0
                  Ctss
                 Cxcr4                                                          expression  0.5       0.5                  0.5                   1                                                                                                                                            Relative Tfeb
                  23
                Dapk1                                                                                                                                                                                                                                                                                                                                                                                                                           Veh. 3,4-DC                             Veh. 3,4-DC
                Dram1                                                            0.0                  0.0                  0.0                   0
                  25
                Dram2
               Eif2ak3                                                                                                                                                                                                                                                                           0.0                                                   Figure 6. Activation of Tfeb by 3,4-Dimethoxychalcone aggravates
                  27
                                                                                                                                                                                                                                                                                                            Sham
                                                                                                                                                                                                                                                                                                                              IR 24h
                 Eif4g1                                                                                                                                                                 C                        Ctrl                        AAV-shTfeb-GFP                                               Sham                IR 24h
                  Esr1
                  29
            Gabarapl1                                                    D                                Lysosomal hydrolases                                                                                                                                                                                                                         I/R injury. A - C. NRCMs were treated with 30 µM 3,4-
            Gabarapl2
                  31
                Hdac1                                                                    Gaa                  Ctsb    **            Ctsd                Hexb                                                                                                                                                                                           Dimethoxychalcone (3,4-DC) for indicated time periods and subcellular
                Hdac6                                                            1.5      *           2.5                  1.5                  2.5            **
                  33                                                                                  2.0                                       2.0        **                                                                                                                      D
                   Hgs
                   Ifng                                                          1.0                           *  *        1.0                          **                                                                                                                                                                                             fractions were analyzed by Western blotting. D and E. 3,4-DC was
                  35 Igf1                                                   Relative mRNA             1.5                                       1.5                                             Sham
             Hsp90aa1                                                           expression  0.5       1.0                  0.5                  1.0                                                                                                                                                                                                    dissolved in corn oil at a concentration of 230 mg/kg and injected
                  37
                Hspa8                                                                                 0.5                                       0.5                                                                                                                                            40              A V s
                 Atg12                                                           0.0                  0.0                  0.0                  0.0                                                                                                                                              4 0           E V s
                  39
                 Becn1                                            Tfeb                                                                                                                                                                                                                                                                                 intraperitoneally and whole heart lysates were analyzed by qPCR
                  Cln3
                  41                                                                                                                                                                                                                                                                           30                                                      analysis. F. 3,4-DC or vehicle injected mice were examined cardiac
                  Ctsb
                                                                                                                                                                                                                                                                                                 3 0
                  Ctsd                                            taget
                  43                                                     E                      Lysosomal membrane and acidification
                   Gaa
              Gabarap                                                                    Cln3                                                                                                                                                                                                Number of vacuoles/area  20                               function using echocardiography. G - I. Representative images of LV
                  45
                  Hexb                                            genes                                       Atp6v1                                                                                                                                                                             2 0
                 Vps11                                                           2.0         **  **     4         **  **                                                                                                                                                                                                 **                            myocardial sections after Alcian blue TTC staining (G). The ratios of the
                  47
                Atp6v1                                                           1.5      *             3     **                                                                                                                                                                               10 1 0                           **
                  Tfeb
                  49                                                        Relative mRNA   1.0         2                                                                                       IR 24h                                                                                                                                                 infarction to AAR (H) and AAR to total LV (I) are shown.
                  Tfe3
                       Sham IR 2h IR 6h IR 24h                                  expression
                           A         B         C         D                       0.5                    1                                                                                                                                                                                        0 0    Ctrl.            shTfeb

                                                                                 0.0
                                                                                                        0
                                                                                                                                                                                                                                                                                                                                                             Conclusion


      Figure 1. Pathway focused qPCR array analysis shows a comparison                                                                                                                                                                                              2µm


      of the autophagy and lysosomal gene profile in Sham and I/R heart


      samples. An autophagy-related pathway focused qPCR array was                                                                                                                                                                                                                                                                                      1) Tfeb is upregulated during the late phase of reperfusion



      performed using primers for 75 autophagy-related genes. Three-month-                                                                                                       Figure 4. Marked accumulation of autophagic vacuoles is                                                                                                                        when Rubicon is upregulated and autosis is observed in


      old C57BL/6J mice were subjected to 30 minutes of ischemia followed                                                                                                        accompanied by upregulation of Tfeb during I/R.                                                                                                                                the infarction region.


      by reperfusion for the indicated times, and whole heart lysates were                                                                                                       AAV9-shTfeb-IRES-GFP was injected into the jugular vein (1.5 × 1012 2) Simultaneous upregulation of the factor promoting


      analyzed by qPCR analysis. A. Heat map showing changes in gene                                                                                                             vg per 10 g for 4 weeks). Four weeks later, mice were subject to 30                                                                                                            autophagy and that inhibiting autophagic flux would



      expression levels. B - E. Graphs showing relative gene expression levels                                                                                                   minutes of ischemia and 24 hours of reperfusion. The heart samples                                                                                                             induce a condition where a marked accumulation of


      of Tfeb and Tfe3 (B), autophagy related (Atg) genes (C), lysosomal                                                                                                         were subjected to fluorescent microscopic analyses and electron                                                                                                                autophagic vacuoles may take place.


      hydrolase genes (D) and lysosomal membrane and acidification related                                                                                                       microscopic analyzes.                                                                                                                                                  3) Tfeb is involved in the stimulation of cardiomyocyte


      genes (E).                                                                                                                                                                                                                                                                                                                                                autosis during the late phase of reperfusion.
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