Significance
Mitochondrial dysfunction contributes significantly to glucose toxicity in diabetes. Increased O-GlcNAcylation is emerging as a major molecular cause of glucose toxicity via many mechanisms. The studies herein provide a direct molecular link between hyperglycemia and mitochondrial dysfunction. We show that mitochondrial O-GlcNAc transferase (OGT) and O-GlcNAcase (OGA) expression levels and localizations are strikingly different between normal and diabetic rat hearts. We also discover how UDP-GlcNAc enters the mitochondrial space. Finally our data demonstrate that OGT and OGA play significant roles in ATP production, mitochondrial membrane potential, and oxygen consumption. These studies are of general interest not only with respect to nutrient regulation of mitochondrial function, but also are important to elucidate mechanisms of diabetic complications.
Keywords: diabetes, diabetic cardiomyopathy, mitochondria, O-GlcNAc, O-GlcNAc transferase
Abstract
Elevated mitochondrial O-GlcNAcylation caused by hyperglycemia, as occurs in diabetes, significantly contributes to mitochondrial dysfunction and to diabetic cardiomyopathy. However, little is known about the enzymology of mitochondrial O-GlcNAcylation. Herein, we investigated the enzymes responsible for cycling O-GlcNAc on mitochondrial proteins and studied the mitochondrial transport of UDP-GlcNAc. Analyses of purified rat heart mitochondria from normal and streptozocin-treated diabetic rats show increased mitochondrial O-GlcNAc transferase (OGT) and a concomitant decrease in the mito-specific O-GlcNAcase (OGA). Strikingly, OGT is mislocalized in cardiac mitochondria from diabetic rats. Interaction of OGT and complex IV observed in normal rat heart mitochondria is visibly reduced in diabetic samples, where OGT is mislocalized to the matrix. Live cell OGA activity assays establish the presence of O-GlcNAcase within the mitochondria. Furthermore, we establish that the inner mitochondrial membrane transporter, pyrimidine nucleotide carrier, transports UDP-GlcNAc from the cytosol to the inside of the mitochondria. Knockdown of this transporter substantially lowers mitochondrial O-GlcNAcylation. Inhibition of OGT or OGA activity within neonatal rat cardiomyocytes significantly affects energy production, mitochondrial membrane potential, and mitochondrial oxygen consumption. These data suggest that cardiac mitochondria not only have robust O-GlcNAc cycling, but also that dysregulation of O-GlcNAcylation likely plays a key role in mitochondrial dysfunction associated with diabetes.
Protein O-GlcNAcylation is a nutrient sensor occurring within nuclear, cytoplasmic, and mitochondrial cellular compartments (1–3). Using UDP-GlcNAc, O-GlcNAc transferase (OGT) modifies myriad proteins on serine and/or threonine residues (4). Cycling of O-GlcNAc is also maintained by an O-GlcNAcase (OGA) (5, 6). O-GlcNAcylation regulates protein functions in response to nutrient availability, metabolic state, and cellular stress levels (7, 8). The extent of protein O-GlcNAcylation at a site on a protein is determined collectively by the cycling enzyme activities, specificities, localizations, and by the concentration of UDP-GlcNAc. Thus, an understanding of protein O-GlcNAcylation’s biological roles must take into account the presence, expression, interactions, and levels of these important players in the O-GlcNAc cycle.
Increased protein O-GlcNAcylation within chronic high glucose-mediated diabetic tissues indicates a causal link between high O-GlcNAcylation and diabetes (9). Within the cardiovascular system, significant levels of O-GlcNAcylation have been observed on myofilament proteins, which severely affect contractile force generation (10). Alterations in cardiac O-GlcNAc levels significantly affect Ca2+ handling and Serca2a function (11). STIM1 a modulator of cardiomyocyte calcium entry is modified by O-GlcNAc, which affects cellular calcium translocation (12). Modification of CaMKII by O-GlcNAc during diabetes activates it to sensitize Ca2+ release from the sarcoplasmic reticulum causing cardiac mechanical dysfunction and arrhythmias (13, 14). Both ADP and Ca2+ signals control ATP production by the mitochondria. Mitochondria are also significantly regulated by nutrient levels and by calcium trafficking in the cell. Because O-GlcNAc is an end point of nutrient-sensitive pathways, and O-GlcNAcylation significantly affects calcium handling, it stands to reason that this Post translational modification (PTM) exerts influence on mitochondrial function. Indeed, PGC1α, the master regulator of mitochondrial biogenesis and survival is O-GlcNAc modified and serves as a cofactor targeting OGT to FOXO transcription factors (15, 16). O-GlcNAcylation of Milton affects mitochondrial motility in neurons (17). Hu et al. reported the modification of mitochondrial electron chain complexes by O-GlcNAc, which affected activities of complexes I, II, and IV (18). Altering O-GlcNAc levels by overexpression of cytoplasmic OGT or OGA had significant effects on mitochondrial function and mitochondrion-related protein expression (19). The existence of a mitochondrial isoform of OGT suggests that O-GlcNAcylation occurs within the mitochondria and on mito-specific proteins (20, 21). However, there have been no reports of an O-GlcNAc hydrolase activity within the mitochondria, as well as no reported mechanism of donor nucleotide sugar (UDP-GlcNAc) presence or import inside the mitochondria (22).
In this paper, we find that not only are the levels of mitochondrial OGT and OGA dramatically altered in mitochondria from diabetic hearts, but we also show that OGT is mislocalized in diabetic mitochondria. We use live cell imaging to show the presence of OGA within the mitochondria and report the presence of a specific mitochondrial transporter that imports UDP-GlcNAc. Together our data suggest that not only does O-GlcNAcylation appear to regulate mitochondrial functions in normal cells, but also that diabetes-associated changes in O-GlcNAcylation likely contribute to mitochondrial dysfunction associated with diabetic cardiomyopathy.
Results
Mitochondrial OGT Is Increased and Mislocalized in Diabetic Rat Hearts.
Mitochondria purified (Fig. S1) from normal and streptozocin (STZ)-treated rat hearts were analyzed by Transmission Electron Microscopy (TEM) for levels of overall protein O-GlcNAc. Using an anti-O-GlcNAc antibody (RL2), we observed significant increases in the total O-GlcNAc levels in the STZ-treated rat mitochondria compared with control rats (Fig. 1A). Quantifying gold particles indicated more than twofold increases in mitochondrial protein O-GlcNAcylation in diabetic heart samples (Fig. 1B). Western blot analysis of purified mitochondrial lysates also showed a twofold increase in the levels of mitochondrial OGT (observed around 105 kDa) in diabetic samples (Fig. 1 C and D). Western blots showed a band at 78 kDa, indicating that the short isoform of OGT is also present in the mitochondria (Fig. 1C). TEM analysis on mito sections validates the twofold increase in OGT levels as observed by immunoblotting (Fig. 1 E and F). Closer examination of OGT-labeled mitochondria revealed a distinct difference in the localization of gold particles between normal and diabetic samples. Localization of total mitochondrial OGT for control rats was mostly on the inner membrane of the purified mitochondria. In contrast, for diabetic rats, there is a significant amount of matrix localization of OGT (Fig. 1 E and G). The overall in vitro activity of mitochondrial OGT from purified mitochondrial lysate was observed to be similar for the normal and diabetic samples (Fig. 1E) (23). Thus, more OGT protein is required to maintain activity levels similar to normal, indicating a potential reduction in specific activity of mito-specific OGT in diabetic samples.
Interaction of OGT with Mitochondrial Electron Transport Chain Complex IV in Normal Rats Is Greatly Reduced in Diabetic Animals.
To examine the associations of mitochondrial OGT, we analyzed the mitochondrial samples using Blue Native PAGE. With an anti-OGT antibody, we observed a band at 78 kDa for both normal and diabetic samples (Fig. 2A). Whereas the normal samples showed a high association of OGT with complex IV proteins, in the diabetic samples more OGT is associated with complex III (Fig. 2A). To confirm this observation, we performed immunoprecipitation (IP) experiments of these complexes and immunoblotting for OGT. For complex IV immunoprecipitations, we observed a similar band at 78 kDa for the normal samples, which was reduced in the diabetic samples (Fig. 2 B and C). The O-GlcNAcylation pattern of complex IV subunits in the immunoprecipitated samples show changes in O-GlcNAc levels in a number of bands (Fig. 2D). We also observed a reduction in complex IV activity within diabetic rat heart mitochondria (Fig. 2 F and G). It has previously been reported that high-glucose–treated cardiomyocytes show significant loss in complex IV activity (11, 18). Our results directly implicate O-GlcNAcylation in the mechanism of this loss of complex IV activity. We also confirmed that the 78-kDa band is indeed OGT by assaying complex IV immunoprecipitated samples for OGT enzymatic activity. Higher OGT transferase activity was observed within IPs of complex IV from normal samples (Fig. 2E).
OGA Levels Are Reduced in Diabetic Heart and OGA Activity Occurs Within the Mitochondria.
Using an antibody against OGA, thin sections containing purified mitochondria were analyzed by TEM for OGA levels with secondary immune-gold labeling. The data (Fig. 3A) suggest the presence of mitochondria-specific OGA. The levels of OGA decrease in diabetic rat heart mitochondria. These findings partially explain why O-GlcNAc levels in mitochondria are up-regulated in diabetic samples. To further visualize the presence of mitochondrial OGA, we immunostained for OGA and mitochondria (using mito-tracker RED). Immunofluoresence imaging of labeled cells show significant colocalization between OGA antibody and mito-tracker (Fig. S2).
Because hydrolase activity from purified mitochondria is inherently problematic due to the low levels of lysosomal impurities (24), we used live cell imaging analysis to ascertain mito-specific OGA activity. Neonatal rat cardiomyocytes were plated and allowed to grow in 5 mM glucose media (25), which were then treated with two inhibitors, Thiamet G (TMG), which is highly specific for OGA (26), and M-31850 for lysosomal hexosaminidases (IC50 for Hex A and Hex B are 6 and 3.1 µM, respectively). Two hours after treatment, the cells were fed the OGA substrate, fluorescein-GlcNAc. The cells were also treated with Tetramethyl Rhodamine Methyl ester (TMRM) and Hoesht for mito-tracking and nuclear localization. Live cell imaging showed significantly enhanced fluorescence signal from hydrolyzed fluorescein-GlcNAc within cells treated with M-31850 compared with TMG-treated cardiomyocytes (Fig. 3 C and D, green filter), indicating that the observed activity differences were OGA specific. For mitochondria-specific activity, TMRM signals were used to segment areas within cells and the fluorescein intensity within these areas were measured. Total segmented fluorescein intensity is also significantly higher within M-31850–treated cells (Fig. 3D), indicating that cardiomyocyte mitochondria retain substantial OGA hydrolysis activity. This is the first demonstration to our knowledge that OGA is indeed present within the mitochondria.
Radioactive 3H UDP-GlcNAc Is Efficiently Transported into Purified Rat Heart Mitochondria.
The transport of nucleotide sugars into the mitochondrial matrix has not been investigated. To ascertain whether UDP-GlcNAc could be transported through the mitochondrial membranes, we used radioactive UDP-GlcNAc to query whether purified mitochondria from rat hearts would efficiently incorporate the nucleotide sugar. As shown in Fig. 4A, we observed effective uptake of the nucleotide sugar by purified rat heart mitochondria. The transport was affected by uridine nucleotides, UTP and UMP, but remained unaffected by ATP, membrane decouplers [Carbonyl cyanide-4-(trifluoromethoxy)phenylhydrazone, FCCP] and mitochondrial permeability transition pore inhibitors. Control mitochondria treated with 1% triton lost a significant amount of the transported UDP-GlcNAc. We analyzed the ability of the inner mitochondrial membrane to control transport function. Mitoplast preparations (Fig. 4B) used in the transport assay (Fig. 4C) show that mitoplasts are also capable of transporting UDP-GlcNAc, which is affected by pore-forming toxins (27), hinting that inner membrane transporter proteins may be responsible for UDP-GlcNAc transport. We confirmed this hypothesis by using known mitochondrial inner membrane transporter inhibitors in our radioactive uptake assay. The data showed that only two inhibitors produced a significant loss in transport of radioactive UDP-GlcNAc. Pyridoxal phosphate, a universal mitochondrial transporter inhibitor and bathophenanthroline, reportedly affecting one of the pyrimidine nucleotide carriers (pnc1) or deoxy nucleotide carrier (dnc) (28, 29). Our data suggest that either of these two transporters might be responsible for uptake of UDP-GlcNAc into the mitochondrial matrix (Fig. 4D).
Pnc1 Transporter Protein (SLC25A33) Is Responsible for Transport of Mitochondrial UDP-GlcNAc.
We reconstituted transport activity in vitro using liposome–protein preparations. Toward this aim, we obtained the expression plasmid for the dnc (29) and pnc (30) genes. Proteins were expressed in Escherichia coli, and overexpressed proteins were purified (31) and used for preparation of proteoliposomes for analysis of transport activity. Phosphatidylcholine (PC) liposomes mixed with protein and 10 mM nucleotide sugar in buffer were detergent exchanged to generate proteoliposomes. Dynamic light scattering spectroscopy was used to determine the size and polydispersity (Fig. S3A) of the liposomes. Subsequently, the liposomes were used to determine transport of radioactive UDP-GlcNAc. Control experiments were set up using liposomes that were preincubated with 20 mM bathophenanthroline and liposomes containing the Sodium Bicarbonate Co-transporter (NBC). Transport data suggested that the pyrimidine nucleotide carrier, pnc1, may be a major transport protein responsible for uptake of UDP-GlcNAc (Fig. 5A), although the deoxy nucleotide carrier also showed significant uptake. We also analyzed a number of nucleotide substrates that may act as exchange substrates for UDP-GlcNAc and found UDP to give the highest transport activity (Fig. 5B), indicating that pnc1 may act as an antiporter. Using a stealth siRNA, we were successful in knocking down pnc1 protein partially from HeLa cells (Fig. 5 C and D). The mitochondria-enriched fractions of these cells showed significant reduction in protein O-GlcNAcylation compared with controls. Finally, we used enriched mitochondria from control and pnc knockdown cells to analyze uptake of radioactive UDP-GlcNAc. The data (Fig. 5E) show a significant reduction in transport activity in the pnc knockdown-enriched mitos, supporting the role of pnc as a transporter for UDP-GlcNAc.
TMG and Ac4SGlcNAc Affect ATP Levels and Mitochondrial Membrane Potential in Neonatal Rat Cardiomyocyte Cells.
Our data show that rat heart mitochondria contain both OGT and OGA, whose levels and localization are altered in diabetes. To interrogate effects of inhibiting these key enzymes on cardiac tissue, we used neonatal rat cardiomyocyte (NRCM) culture to access the functional effects of altering O-GlcNAcylation on NRCM. For this analysis we used a short-term treatment of TMG and peracetyl thio-GlcNAc (Ac4SGlcNAc) as inhibitors for OGA and OGT, respectively (6 h for TMG and 18 h for Ac4SGlcNAc). Western blotting of whole cell lysates and mitochondrial fraction of cardiomyocytes confirm effective inhibition of both these enzymes (Fig. 6A). Inhibitor-treated cells were also used to determine total cellular ATP levels. OGA inhibition using TMG lowers the total cellular ATP levels by 40% compared with normal glucose, whereas inhibition of OGT did not significantly alter the overall ATP levels (Fig. 6B). Reduced mitochondrial membrane potential attenuates total ATP generated by the mitochondria and can cause dysfunction in cardiac mitochondria. To investigate how O-GlcNAc affects membrane potential, we tested mitochondrial potential in NRCMs after inhibition of OGT and OGA. Using live NRCMs, relative membrane potentials were determined by using a membrane potential activated dye, JC-1. We also used a mitotracker RED dye to look at fixed cells that were pretreated with the inhibitors. Both live and fixed cell analysis showed that cells treated with TMG had significantly reduced membrane potential compared with control cells (Fig. 6 C and D), whereas upon Ac4SGlcNAc treatment, a slight strengthening of the potential was observed (Fig. 6 C and D).
Effects of TMG and Ac4SGlcNAc on Mitochondrial Oxygen Consumption.
Inhibition of neonatal rat cardiomyocyte OGT and OGA using Ac4SGlcNAc and TMG, respectively, showed that short-term treatment of these enzymes significantly affect total cellular ATP levels and mitochondrial membrane potential. We decided to query whether OGT and OGA inhibition had an effect on mitochondrial oxygen consumption. For these measurements, we used XF96 seahorse analysis. Cardiomyocytes plated in 96-well plates were treated with Ac4SGlcNAc and TMG as described. The cells were then put in the seahorse analyzer and basal oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) were obtained, after which the cells were subsequently treated with oligomycin, FCCP, rotenone and antimycin, and both OCR and ECAR were measured. Our data (Fig. 6E and Fig. S4) suggest that short-term TMG treatment significantly increases basal oxygen consumption. A significant portion of this increase seems to be ATP linked, which points to the loss in total cellular ATP levels as observed in Fig. 6C and the corresponding lowering of membrane potential. Conversely, OGT inhibition slightly lowers basal mitochondrial oxygen consumption. Maximal OCR levels remain unchanged between untreated and TMG-treated cells, whereas inhibition of OGT seems to slightly lower maximal OCR levels. This may be due to the slight increase in mitochondrial membrane potential as observed in Fig. 6 C and D. Also, probably as a result of increased basal OCR, mitochondrial reserve capacity is lowered significantly upon TMG treatment. A look at the cellular glycolytic rate (Fig. 6F) reveals that both TMG and Ac4SGlcNAc increases the glycolytic rate, although the increase due to TMG is much higher. TMG also elevates the maximal glycolytic capacity, which OGT inhibition does not seem to affect. In this regard, lowering of the basal OCR levels and maximal OCR levels upon Ac4SGlcNAc treatment might indicate a mito-specific effect of OGT inhibition in the neonatal rat cardiomyocytes, underscoring the important role of mitochondrial OGT in its function.
Discussion
A significant volume of literature suggests that O-GlcNAcylation is a nutrient and stress sensor. Mitochondria—the cells’ own energy generator—is significantly affected by alterations in nutrient types and levels. Recent research in the field has attempted to understand how mitochondrial function is affected by alterations in cellular O-GlcNAc without focusing on the raw materials that alter O-GlcNAc cycling within the mitochondria. This paper attempts to understand how the enzymes responsible for O-GlcNAc cycling affect mitochondrial O-GlcNAc and its functioning. The observation that OGT levels are increased in diabetic mitochondria, without significantly affecting its in vitro specific activity, hints at the aberrant nature of OGT functioning within diabetic organelles. Interestingly, EM data suggest a loss of membrane association for OGT in diabetic mito samples; this alteration in localization likely changes the subset of proteins that get O-GlcNAc modified within diabetic tissues, thereby implicating altered O-GlcNAc status of mitoproteins in certain mitochondrial dysfunction observed during diabetes. This loss of membrane-associated protein–OGT interaction is observed in complex IV–OGT interaction that falls off in diabetic samples. The OGT isoform observed in this case seems to be the short 78-kDa form, although there is a possibility that this observed band is just a proteolytic fragment of the mitochondrial OGT. Complex IV activity is significantly reduced in diabetic mitochondria and its OGT association may be a reason for its loss of functionality.
In our study, we observe OGA levels in normal mito by EM, which is reduced in diabetic samples. We also show by Immuno Fluoresence (IF) analysis that OGA colocalizes with mito-tracker RED in both NRCMs and NIH 3T3 cells. Our live cell assay shows that a significant portion of the cellular OGA activity occurs within the mitochondria. Taken together with the presence, localization, and interaction of mito-specific OGT, this observation for the first time to our knowledge puts both of the two cycling enzymes within the mitochondria, thus indicating real-time O-GlcNAc cycling occurs inside the mitochondrion.
We also show here that purified mitochondria are indeed capable of transporting UDP-GlcNAc, and this transport is affected specifically by UTP nucleotides. Using mitoplast preparations, inhibitor-based transport assays and in vitro liposome assay, we identified the pyrimidine nucleotide carrier as a mitochondrial transporter responsible for transport of UDP-donor sugar. Finally using stealth siRNA-based knockdown assay, we observed significant loss of O-GlcNAc levels in mitochondrial O-GlcNAc and a lowering of UDP-GlcNAc transport capacity. This finding implicates pnc as the significant contributor to mitochondrial UDP-GlcNAc levels. It must be acknowledged that even though pnc seems to be the predominant transporter for UDP-GlcNAc, the deoxyribonucleotide carrier (dnc) also transported a certain amount of the external radioactivity. Given the structural similarities of these transporters as well as the substrates they reportedly transport, both of these proteins could be partially responsible for uptake of nucleotide sugars.
Finally, our results indicate a real effect of OGT/OGA inhibition on mitochondrial function. Short-term inhibition of OGA lowers ATP levels and mitochondrial membrane potential. Concurrently at the basal level, we observe a significant increase in mitochondrial oxygen consumption upon TMG treatment. There is also an increase in basal glycolytic rate upon TMG treatment. These observations can be understood as an increase in overall cellular metabolic rate, which effects glycolysis, oxygen consumption, and membrane potential. These data indicate short-term increase in O-GlcNAc levels allows the cell to become more metabolically active and possibly assists in cardioprotection. Conversely, targeting OGT slightly strengthens mitochondrial membrane potential and cellular ATP levels. The ECAR data show a slight increase in glycolytic rates upon OGT inhibition, whereas a decrease in OCR is observed. This finding indicates that OGT’s effects may be more mitoprotein specific and that lowering of O-GlcNAc possibly lowers mitochondrial metabolism rates.
In conclusion, through this work we characterize the players in O-GlcNAc cycling within the mitochondria. We delineate how the enzyme levels, their location, and their interactions change in going from normal to diabetic heart samples. We show for the first time to our knowledge mito-specific OGA activity within live neonatal rat cardiomyocytes. And we report the presence of a mitochondrial transporter that uptakes UDP-GlcNAc. A knockout of one of these transporters also lowers the O-GlcNAc levels in the mitochondria. Because O-GlcNAcylation is highly dynamic, the presence of the full repertoire of responsible elements in the mitochondria indicates effective machinery that possibly alters the mitochondria’s functioning in response to not just nutrient and other cellular stresses but also to alteration in overall cellular O-GlcNAcylation conditions. Overall, current data suggest that O-GlcNAcylation not only plays a role in nutrient regulation of mitochondrial functions, but also its alterations in diabetes, both in terms of extent and types of proteins modified, plays a role in mitochondrial dysfunction in diabetic heart tissue.
Materials and Methods
Animals and Mitochondrial Purification.
All rats were treated in accordance with animal safety regulations according to The Johns Hopkins University School of Medicine. Rat hearts were taken from both diabetic and control animals and used for mitochondrial purification. See SI Materials and Methods for further details.
NRCM Mitochondrial Oxygen Consumption.
Live cell oxygen consumption was measured by using a XF96 flux analyzer. The oxygen consumption rate was measured over a period of 100 min over which time oligomycin, FCCP, antimycin A, and rotenone and iodoacetate were sequentially added to each well. See SI Materials and Methods for further details.
Live Cell OGA Activity Assay.
Cardiomyocytes were treated with OGA and lysosomal hexosaminidase inhibitors and used to determine live cell mito-specific OGA activity. See SI Materials and Methods for further details.
Generation of Proteoliposomes for UDP-GlcNAc Uptake Assay.
Liposomes were generated and transport of radioactive UDP-[3H]GlcNAc was carried out as described (31, 32). See SI Materials and Methods for details.
Statistics.
Data from Western blots and IF samples were processed by ImageJ quantification software. All data are expressed as mean ± SD. Each ‘n” represents the number of rats used or the number of biological repeats as applicable. Comparisons between different groups were performed with the use of a two-tailed, unpaired Student t test, with P < 0.05 considered significant.
Supplementary Material
Acknowledgments
The authors thank Prof. Rosemary O’Conner (National University of Ireland, Cork) and Prof. Fernando Palmieri (University of Bari, Italy) for generously providing the plasmids for PNC and DNC, respectively; Junaid Afzal and Genaro Ramirez-Correra for assistance with the seahorse analysis and live cell OGA activity assay, respectively; and the Johns Hopkins Microscopy facility for assistance with TEM and immunofluoresence analysis. This work was supported by NIH Grants P01HL107153, R01DK61671, and N01-HV-00240.
Footnotes
Conflict of interest statement: G.W.H. receives a share of royalty received by the university on sales of the CTD 110.6 antibody, which are managed by Johns Hopkins University.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1424017112/-/DCSupplemental.
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