Hypothalamic Autophagy and Regulation of Energy Balance

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1 Hypothalamic Autophagy and Regulation of Energy Balance Rajat Singh, MD Albert Einstein College of Medicine New York NuGOweek 211 Sept 6-9, 211

2 Autophagy Evolutionarily conserved cellular recycling program Cellular homeostasis Degrades aged organelles, proteins, & cytosol Alternate energy source Cell shape/tissue differentiation Cellular injury & death Metabolic alterations Microbial pathogenesis Cancers Affect Health

3 What is health? Autophagy/stress response pathway Physical Physical Physical Obesity Obesity Mental the Health ability is a state to of adapt complete to physical, mental, and social-well challenges being, and or not environmental merely the stressors absence of disease or infirmity Mental Mental Social Social Social

4 Types of Autophagy Macroautophagy ( in-bulk degradation) Mitochondria (mitophagy) ER (reticulophagy) Peroxisomes (pexophagy) Chaperone-mediated autophagy Microautophagy

5 Macroautophagy Starvation/Stress Bcl2 Beclin-1 Nutrients/ P-mTOR Atg14 Beclin-1 vps15 Class III vps34 PI3K Atg14 Atg7 vps15 LC3-I Atg5/12 vps34 LC3-II Amino/fatty acids Nucleation complex Limiting membrane Autophagosome Lysosome

6 Autophagy (lipophagy) regulates lipid metabolism Limiting membrane fatty acids Energy Limiting membrane Singh, Kaushik et al. Nature (29)

7 Autophagy (lipophagy) mobilizes lipid stores None Oleic Bodipy 493/53 Control siatg5 LD number/cell Control siatg5 None # # OL 14 C-oleic acid/β-oxidation Relative β-oxidation Control siatg5 OL MCD Control siatg5 Control Atg7 F/F -Alb-Cre 2µm 2µm Electron Microscopy 1 µm 5µm Oil Red O 5µm Singh, Kaushik et al. Nature (29)

8 Why Autophagy (lipophagy) in the hypothalamus? Active lipid metabolism within hypothalamic neurons Hypothalamic neuron-intrinsic free fatty acid availability feeding Autophagy is induced by starvation Autophagy mobilizes lipid stores to increase free fatty acid availability Hypothalamic mtor (autophagy inhibitor) regulates energy balance

9 Questions? Nutrients Does starvation induce autophagy in the hypothalamus? Does lipophagy exist in hypothalamic neurons? Autophagy FFA Does autophagy regulate neuronal free fatty acid levels? Function of autophagy in neurons? GT1-7 hypothalamic cells Primary hypothalamic cultures Food intake in vivo

10 Question Does starvation induce autophagy in the hypothalamus?

11 GT1-7 cells Fed Starved Starved Starvation induces autophagy in the hypothalamus Refed LC3 Beclin-1 Actin Fed Starved Refed.5h Fed Starved Refed 2h Fed Starved Refed 4h II Autophagosome content (relative) Fed Starved Refed.5h # 2h ### 4h RFOL Indirect Immunofluorescence LC3 1 μm Fed Starve d Refed LC3 puncta /cell area 5 ### MBH LC3 Actin Autophagosome content (relative) Fed Stv 6h Refed # Fed Stv 6h Refed II Kaushik et al. Cell Metabolism (August, 211)

12 Increased Hypothalamic autophagy by functional flux assays Basal LC3 flux assay LC3- II/p62 LC3- II/p62 Inh Control or starved +/- Lysosomal Inhibitor (Inh) LC3-II blot Limiting membrane Autophagic flux Active Inh Net amount of LC3-II or p62 accumulated in lysosomes in presence of inhibitors (Inh)

13 Starvation induces autophagy in the hypothalamus LC3- II/p62 Inh LC3 flux assay Control or starved LC3-II blot GT1-7 cells MBH +/- Lysosomal Inhibitor (Inh) Inh LC3 Actin Net LC3 flux (relative) II Inh + + p62 Actin Net p62 flux (relative)

14 Question What are the physiological effects of loss of autophagy in hypothalamic neurons?

15 Generation of neuron autophagy-deficient mice x = Atg7 F/F -Cre Atg7 F/F- -Cre Atg7/Cre Atg7 Cre 5 μm POMC/Cre POMC Cre 5 μm

16 Loss of autophagy in neurons reduces adiposity and food intake Body weight (g) Control KO 2mo 6-8mo Total fat mass (g) Control KO ewat wt (g) Control KO Autophagy Food intake Food intake (g) Control KO Food intake (g) 6h fast Control KO 1h 2h Kaushik et al. Cell Metabolism (August, 211)

17 Loss of autophagy in neurons reduces levels MBH GT1-7 cells Autophagy Con KO Stv - 6h - 6h Actin Actin Fed Con siatg5 Fed.5h 2h 4h.5h 2h 4h (ng/μg protein) Con siatg5 ELISA Culture medium

18 Loss of autophagy in neurons reduces inhibitory inputs on POMC neurons Nutrients Autophagy POMC POMC Actin Fed Stv 6h α-msh Control KO 1 μm α-msh fluorescence Control KO Locomotor activity (events/min) Control KO ATGL Actin Fed Stv 6h Con KO Con KO Loss of Autophagy in neurons increases energy expenditure Kaushik et al. Cell Metabolism (August, 211)

19 Question What activates hypothalamic autophagy during starvation?

20 Question Autophagy? Circulating free fatty acids Starvation Circulating free fatty acids Autophagy

21 Questions Whether starvation increases hypothalamic lipid accumulation? Whether increased hypothalamic lipids activate autophagy?

22 1. Whether starvation increases hypothalamic lipid accumulation? Lipids? GT1-7 cells 14 C-Triglycerides Triglyceride Synthesis assay TLC 14 C-oleic acid 14 C-TG FFA Circulating free fatty acids Starvation 14 C-TG 14 C-Fatty acid Triacsin C Treatment Triacsin C Fatty acid TG Fed serum Starved serum 1 μm MBH 14 C-TG BODIPY TG

23 2. Whether increased hypothalamic lipids activate autophagy? Autophagy? GT1-7 cells Oleic Palmitate FFA Circulating free fatty acids Starvation Net LC3 flux Control.6.25 Net LC3 flux Control.6.25 % of Total Proteolysis none Oleic Lysosomal.25mM P-AMPK P-ULK1 Actin - OL Pal P-AMPK P-ULK1 Actin

24 Question? Whether induction of hypothalamic autophagy mobilizes neuron-intrinsic lipids?

25 Dynamic interactions between autophagic components and Whether autophagic components hypothalamic interact lipids? with hypothalamic lipids? GT1-7 cells BODIPY BODIPY LAMP1 Limiting membrane BODIPY/LAMP1 Control Oleic Palmitate BODIPY/LAMP1 FS SS % colocalization BODIPY/LAMP Control Oleic Palmitate % colocalization BODIPY/LAMP Fed serum Starved serum

26 Autophagic components interact with hypothalamic lipids Oleic Primary hypothalamic cultures BODIPY LAMP1 BODIPY/LAMP1 Control Oleic Number of colocalized puncta BODIPY/LAMP Control Kaushik et al. Cell Metabolism (August, 211)

27 Autophagic components interact with hypothalamic lipids GT1-7 cells BODIPY/LAMP1 BODIPY +Serum +Serum Inh -Serum -Serum Inh Refed Refed Inh LD number/area LD number/area S -S RF # # +S -S RF Kaushik et al. Cell Metabolism (August, 211)

28 Autophagic components interact with hypothalamic lipids in vivo MBH PLIN2/LAMP1 PLIN2 LAMP1 1μm PLIN2/LAMP-2A PLIN2 LAMP-2A 1μm Kaushik et al. Cell Metabolism (August, 211)

29 Question? Hypothalamus Lysosome Lipids Free Fatty acids (?) FFA~CoA FFA Circulating free fatty acids Does hypothalamic autophagy serve to increase neuronal free fatty acids? Starvation

30 Autophagy generates hypothalamic free fatty acids during starvation TLC 14 C-TG 14 C-FA None TrC +S -S +S -S TrC 14 C-TG 14 C-FA Triglyceride Decay assay 14 C-oleic acid Pulse 14 C-TG TrC TLC -serum Chase +S -S RF TrC C-TG 14 C-FA 14 C-FA (Relative units/µg) # +S -S RF TLC 14 C-FA (Relative units/µg) None +Inh 14 C-FA (Relative units/µg) Con siatg5

31 Inhibiting Autophagy leads to neuronal lipid accumulation GT1-7 cells Control Inh BODIPY Primary hypothalamic cultures Control 1 μm Inh BODIPY

32 Question? Hypothalamus Lysosome Lipids Free Fatty acids FFA Circulating free fatty acids Starvation FFA~CoA Whether autophagy-derived neuronal free fatty acids modulate levels?

33 Free fatty acids upregulate levels GT1-7 cells +S -S OL (mm) Actin +S -S Pal (mm) Actin Actin Densitometry units none.25mm OL.25mM Pal +S -S Densitometry units none.25mm OL.25mM Pal -S Densitometry units FS SS

34 Question? Hypothalamus Lysosome Lipids Free Fatty acids FFA Circulating free fatty acids Starvation FFA~CoA Whether blocking autophagy impairs fatty acid-induced expression?

35 Blocking Autophagy impairs fatty acid-induced expression GT1-7 cells Oleic - Inh OL (mm) Actin Densitometry units Inh +Inh..25mM Actin Densitometry units Palmitate Inh -Inh +Inh Actin Densitometry units Starved serum CHX OL (mm) Actin - Inh -Inh +Inh Actin Densitometry units Serum removal Pal (.25mM) Actin - CHX - Inh -Inh +Inh Primary hypothalamic cultures /DAPI 1 μm (Arbitrary Fluorescence units) -Inh Inh +Inh Basal +Inh Densitometry units OL (.25mM) -CHX +CHX Densitometry units CHX +CHX

36 Conceptual Framework Lipids Lysosome Starvation induces hypothalamic fatty acid uptake Fatty acid uptake activates hypothalamic autophagy FFA~CoA Circulating free fatty acids FFA Autophagy regulates the controlled availability of neuron-intrinsic free fatty acids Neuronal free fatty acids drive expression Loss of autophagy in neurons reduces expression and constitutively increases POMC levels Starvation POMC Increased energy expenditure Positively affect metabolic health Kaushik et al. Cell Metabolism (August, 211)

37 Future directions 1. Autophagy in POMC neurons Upstream signaling cascades that control neuronal autophagy Fatty acid regulation of neuropeptide expression Hypothalamic autophagy & aging

38 Acknowledgements Lab Nuria Martinez, PhD Susmita Kaushik, PhD Priti Mishall, MD Lisa Sahu Diana Athonvaragkul Collaborators Ana Maria Cuervo, MD PhD Gary Schwartz, PhD Funding NIH NIDDK Einstein-Nathan Shock Pilot award

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41 Does fatty acid link macroautophagy to secretion? FFA +Serum -Serum 3 RF β-oxidation (CPM/h/µg) S -S RF ATP Neuron activation Merge CMXROS Mitotracker 1.6 -S -S + Etmxr (Relative units) ELISA Relative units mrna Relative units S -S 3min N/L Etmxr TrC DEUP. -s -s + etm -s + TrC

42 Decreased hypothalamic autophagy with aging may contribute to anorexia 3mo 12mo 22mo F S6h F S6h F S6h Atg7 Atg5/12 Actin Food (g)/mean body wt (g) mo 12mo 22mo

43 Fatty acids induces autophagy as a feed-forward mechanism -serum -serum + OL -serum + Pal % colocalization (BODIPY/LC3) BODIPY/LC Serum- None OL PAL

44 Body wt (g) neuron specific ablation of autophagy decreases food intake and body weight Atg7F/F x -Cre 3mo Con -Cre 6mo Basal food intake Food intake (g/mouse) h Con -Cre 2h Atg7 and LC3 WB WB in con/ko WAT wt (g) Con -Cre Serum fatty acids (meq/l) F S F S Glucose (mg/dl) F S F S Con -Cre Con -Cre

45 Aging-induced decline in hypothalamic autophagy contributes to anorexia of aging 2. 3mo 12mo 22mo F S6h F S6h F S6h Atg7 Atg5/12 Actin 1.. 3mo 12mo 22mo F S6h F S6h F S6h NL p62 Actin.6 Loading MBH TH 3mo 12mo 22mo 3mo 12mo 22mo F S F S F S F S F S F S Food (g)/mean body wt (g) mo 12mo 22mo

46 Questions?? Is fatty acid driving gene expression? Yes!! Mechanism? -PPAR-gamma? -FoXo1?

47 Hypothalamic regulation of food intake Nutrients POMC AgR P Hunger POMC Satiety

48 The working model neuron GT1-7 hypothalamic cells serum removal 14 C-fatty acid Mediobasal hypothalami fasted mice serum fatty acids AV Lipid stores Lys FFA Food intake

49 Autophagic components interact with hypothalamic lipids Primary hypothalamic cultures BODIPY/LAMP1 Control 1 μm Inh +Inh/Oleic Colocalized puncta/neuron BODIPY/LAMP Inh +Inh - - Ol Kaushik et al. Cell Metabolism (211)

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