Abstract
The transition from mitotic to meiotic cell cycles is essential for haploid gamete formation and fertility. Stimulated by retinoic acid gene 8 (Stra8) is an essential gatekeeper of meiotic initiation in vertebrates; yet, the molecular role of STRA8 remains principally unknown. Here we demonstrate that STRA8 functions as a suppressor of autophagy during spermatogenesis in mice. Stra8-deficient germ cells fail to enter meiosis and present aberrant upregulation of autophagy-lysosome genes, commensurate with autophagy activation. Biochemical assays show that ectopic expression of STRA8 alone is sufficient to inhibit both autophagy induction and maturation. Studies also revealed that, Nr1d1, a nuclear hormone receptor gene, is upregulated in Stra8-deficient testes and that STRA8 binds to the Nr1d1 promoter, indicating that Nr1d1 is a direct target of STRA8 transcriptional repression. In addition, it was found that NR1D1 binds to the promoter of Ulk1, a gene essential for autophagy initiation, and that Nr1d1 is required for the upregulated Ulk1 expression in Stra8-deficient testes. Furthermore, both genetic deletion of Nr1d1 and pharmacologic inhibition of NR1D1 by its synthetic antagonist SR8278 exhibit rescuing effects on the meiotic initiation defects observed in Stra8-deficient male germ cells. Together, the data suggest a novel link between STRA8-mediated autophagy suppression and meiotic initiation.
Author summary
Meiotic initiation is a key feature of sexual reproduction that launches an intricate chromosomal program involving DNA double strand breaks (DSBs), homolog pairing, cohesion, synapsis, and recombination. Vertebrate gene Stra8 is an essential gatekeeper of meiotic initiation. However, the molecular role of STRA8 and its target genes remain elusive. Using mouse spermatogenesis as a model, we report that STRA8 suppresses autophagy by repressing the transcription of a nuclear hormone receptor gene Nr1d1, and in turn, silencing the expression of Ulk1, a gene essential for autophagy initiation. Given that autophagy is critical for protein and cellular organelle recycling and for preventing genomic instability, our study suggests that this newly demonstrated function of STRA8, as a suppressor of autophagy, may be an important mechanistic feature of its role in meiotic initiation.
Introduction
Meiosis is a fundamental process in sexual reproduction during which diploid cells halve their chromosome number by two rounds of cell divisions to generate haploid cells or gametes. In mammals, temporal regulation of meiosis in germ cells is sex-specific: meiosis in females begins during embryogenesis, whereas meiosis in males starts at puberty and persists throughout adulthood [1]. To enter meiosis, diploid cells must cease mitosis and then undergo one round of DNA replication, followed by the formation of DNA DSBs, meiotic chromosome pairing, cohesion, synapsis, and recombination. Although meiotic initiation has been extensively studied in some model organisms, such as yeast, flies, and worms, the mechanisms governing meiotic initiation in mammals remain elusive, largely because the molecular machinery controlling this process differs among species [2].
To date, the best characterized gatekeeper of meiotic initiation in vertebrates is stimulated by retinoic acid gene 8 (Stra8) [3]. STRA8 is thought to act as a basic helix-loop-helix (bHLH) transcription factor, based on its DNA binding and transcriptional activity [4]. Interestingly, Stra8 is expressed in a precise tissue-specific and developmental manner, whereby it is transitorily expressed only in premeiotic germ cells, of both sexes, shortly before their entry into meiosis [5, 6]. Functionally, Stra8 likely governs both meiotic initiation and early meiotic progression. In one study, Stra8-deficient germ cells (exons 2–7 deleted) of both sexes do not display molecular hallmarks of meiotic initiation (e.g., DSBs) and fail to enter meiosis in juvenile mouse testes and in developing ovaries [7, 8]. Another study that used a different Stra8-deficient mouse line, in which exons 2–4 were deleted on an F1 hybrid (C57BL/6 x 129) background showed that Stra8 functions instead in early meiotic prophase in spermatogenesis [9]. Nevertheless, Stra8-deficient germ cells of both sexes undergo meiotic arrest [7–9]. Thus, STRA8 is an essential regulator of meiosis that likely acts as a transcription factor, but currently there is little information on its molecular role and functional targets implicated in meiosis [10].
In this study, we report the unexpected finding that STRA8 acts as a suppressor of autophagy. Autophagy is a catabolic process involving self-digestion of protein and cellular organelles through lysosomes [11] and a major stress response pathway that promotes cellular survival by supplying nutrients and energy. In addition, autophagy plays a critical role in maintaining protein and cellular organelle quality control [12]. In recent decades, studies have identified genes that encode essential molecular factors of the autophagy pathway [11], including regulators of autophagy initiation (VPS34/PIK3C3, ULK1), nucleation (BECN1), elongation (ATG5-ATG12, ATG7, ATG16, and LC3B), and maturation through lysosome biogenesis (VPS18 and LAMP2). Moreover, TFEB has been identified as a master regulator of autophagy by inducing a broad spectrum of autophagy-lysosome genes [13]. Interestingly, lack of autophagy has been shown to instigate DNA damage events, including DNA DSBs, in somatic cells [14–16] (reviewed in ref. [17, 18]). The reported findings support a mechanism whereby STRA8 suppresses germ cell autophagy via direct transcriptional inhibition of a second transcription factor, NR1D1, which is needed for expression of the essential autophagy initiator ULK1. The data show that loss of Nr1d1 expression or inhibition of NR1D1 function by its synthetic antagonist SR8278 exhibited rescuing effects on the meiotic initiation block observed in Stra8-deficient male germ cells. Together, our results suggest that STRA8-mediated autophagy suppression is a mechanistic feature of its role in meiotic initiation.
Results
Stra8-deficient testicular germ cells exhibit aberrant autophagy activation at the transcriptional level
To determine the molecular mechanism of STRA8-driven meiotic initiation, we used Stra8-deficient mice on a highly inbred C57BL/6 background [8]. We examined Stra8-deficient testes at 15–21 days postpartum (d.p.p.) by transmission electron microscopy. At this age, wild-type testes exhibited a normal presence of spermatogonia and meiotic spermatocytes (Fig 1A, panels a and b), whereas Stra8-deficient (Stra8-/-) testes exhibited a complete lack of meiotic spermatocytes despite the presence of spermatogonia (Fig 1B, panels a-c). Importantly, transmission electron microscopy revealed two novel characteristics in Stra8-deficient testes. First, the cellular integrity in the adluminal compartment of the seminiferous tubules appeared highly disrupted (Fig 1B, panel b), with the degenerative cells in this region having lost membrane integrity and erupted their cellular contents into the lumen (Fig 1B, panel d). Second, we frequently observed autophagosome structures (38 autophagosome structures observed in 200 germ cells from 2 Stra8-deficient testes), whereas in wild-type testes comparable autophagosome structures were not observed (0 autophagosome structures in 378 germ cells examined from 2 wild-type testes) (Fig 1A, panel b and c). Comparable autophagosome structures were not observed in Sertoli cells from both wild-type (Fig 1A, panel e) or Stra8-deficient testes (Fig 1B, panel c and e). This is consistent with a recent report that autophagy was not detected in spermatogonia, early spermatocytes and Sertoli cells in rat testes [19]. The autophagosome structures observed in Stra8-deficient germ cells were located in the cytoplasmic region of both non-degenerative (cells with intact membrane) (Fig 1B, panels f-i) and degenerative cells (Fig 1B, panel j). These double-membraned autophagosomes enclosed cellular organelles, including mitochondria (Fig 1B, panels f—i) and endoplasmic reticulum (Fig 1B, panel j). Together, our transmission electron microscopy study revealed aberrant autophagosome formation in Stra8-deficient germ cells.
During autophagy, autophagosomes serve as intermediate transport vesicles to target cellular components for degradation before their conversion into autolysosomes. Thus, aberrant appearance of autophagosomes in Stra8-deficient testes could result from either elevated autophagosome formation or impaired autophagosome turnover through fusion with lysosomes [20]. To distinguish between these possibilities, we examined autophagy activity in Stra8-deficient testes by using tandem fluorescent-tagged LC3 (RFP-GFP-LC3) by breeding RFP-GFP-LC3 transgenic allele into wild-type and Stra8-deficient backgrounds [21]. LC3 is a soluble protein and is distributed ubiquitously in cells. Upon autophagy activation, the cytosolic form of LC3 (LC3-I) is conjugated to phosphatidylethanolamine (PE) to form LC3-II, which is recruited to autophagosomal membranes, thereby serving as a well-characterized marker for autophagosomes [22]. In this reporter system, autophagosome vesicles (GFP-positive and RFP-positive puncta) can be distinguished from acidified autolysosome vesicles (GFP-negative and RFP-positive puncta) due to acidic quenching of the GFP signal, but not the RFP signal, after fusion with lysosomes. Whole-mount immunofluorescence imaging of seminiferous tubules from wild-type testes showed occasional merged GFP-positive and RFP-positive puncta, indicative of autophagosomes (Fig 2A). In contrast, seminiferous tubules from Stra8-deficient testes exhibited a significant increase in the number of both total vesicles (RFP-positive puncta) and autolysosome vesicles (GFP-negative and RFP-positive puncta) (Fig 2A). Direct fluorescence imaging of testicular cross sections confirmed a profound increase of autophagy in 98% of Stra8-deficient seminiferous tubules (Fig 2B). In contrast, 100% of the seminiferous tubules in wild-type testes exhibited diffuse GFP signal, suggesting cytoplasmic soluble LC3 and a lack of autophagosome formation (Fig 2B, lower left panels). To further confirm that the lack of autophagosomes in wild-type seminiferous tubules did not result from rapid turnover, wild-type and Stra8-deficient juvenile mice were treated with chloroquine, a weakly basic lysosomotropic agent that can block autophagosome fusion with lysosomes. Whereas chloroquine treatment resulted in an accumulation of autophagosome vesicles (GFP-positive and RFP-positive puncta) in Stra8-deficient testes, we did not observe an appreciable effect of autophagosome vesicle accumulation in wild-type testes, suggesting low autophagy activity (S1 Fig).
Autophagy is an essential intracellular degradation process. To evaluate autophagic degradation (flux) in wild-type and Stra8-deficient testes, we examined the protein level of p62 (or sequestosome 1, SQSTM1), a highly selective substrate for autophagic degradation [23]. The amount of p62 protein inversely correlate with autophagic flux activity: high levels of autophagy results in low p62 protein levels due to its degradation, while low levels of autophagy results in high p62 protein levels due to its accumulation. Wild-type testes contained seminiferous tubules with robust p62 protein accumulation at 21 d.p.p. (Fig 3A). In contrast, p62 protein level was almost completely lost in age-matched Stra8-deficient testes (Fig 3A). To determine if low p62 protein levels in Stra8-deficient testes were due to elevated autophagic degradation, possible changes due to Sqstm1 gene (encoding p62) expression and autophagosome degradation (by chloroquine treatment) were evaluated. Quantification of Sqstem1 mRNA showed comparable levels in age-matched wild-type and Stra8-deficient testes (Fig 3B) and whereas chloroquine showed no appreciable effect on p62 protein levels in wild-type testes (S2 Fig), chloroquine induced cytoplasmic p62 accumulation in germ cells of Stra8-deficient testes (Fig 3C). Together, these data suggest there is a rapid autophagic degradation of p62 in Stra8-deficient germ cells, reflective of high autophagic flux.
To help uncover the mechanism by which STRA8 influences autophagy, expression levels of 14 essential autophagy-lysosome genes were evaluated by quantitative RT-PCR (qRT-PCR). For these studies, juvenile testes at 10 d.p.p. were used to assure that the germ cell content is comparable between wild-type and Stra8-deficient testes and, thus, observed differences between mRNA levels are not due to differences in germ cell numbers (S3 Fig). Among these 14 genes, 6 genes, namely, Ulk1, Atg5, Map1lc3b, Vps18, Lamp2, and Tfeb, were significantly upregulated in Stra8-deficient testes (Fig 4). These genes encode essential factors for autophagosome formation (ULK1, ATG5, Map1lc3b), lysosome function (VPS18, LAMP2), as well as a master regulator of autophagy-lysosome genes (TFEB). Together, these data suggest that induction of autophagy in Stra8-deficient testes results from upregulation of specific autophagy-lysosome gene expression.
STRA8 inhibits autophagosome formation and maturation
Our data in Stra8-deficient testes suggests that STRA8 may suppress autophagy by inhibiting autophagy-lysosome gene expressions. Currently, there are no available STRA8-expressing germ cell lines and, because Stra8 is transiently expressed on the verge of mitosis to meiosis transition, primary isolation and culture of Stra8-expressing cells could be challenging. Hence, to assess the role of STRA8 in autophagy suppression, STRA8 was ectopically and stably expressed in F9 embryonic carcinoma cells, a cell line regularly used for autophagy research [24]. Of note, autophagy machinery is present in every cell type and autophagy is an ongoing process in all cells; therefore, analysis of autophagy is often performed in cell lines [20]. To facilitate the identification of STRA8-expressing cells, STRA8 was tagged with GFP at its carboxyl terminus (S4 Fig). First, to test whether STRA8 suppresses autophagy induction, we used three commonly used inducers of autophagy, namely, amino acid starvation, rapamycin (mTOR inhibitor), and metformin (AMPK inducer) [25]. Autophagosome formation was detected by immunoblotting for LC3-II, which is a marker for autophagosomes [26]. It was found that, while LC3-II levels were significantly increased in control cells in all three conditions, there was no significant further increase of LC3-II levels in STRA8-expressing cells (Fig 5). These data suggest that STRA8 suppresses de novo autophagosome formation upon autophagy induction.
Although de novo autophagosome formation is impaired by STRA8 upon autophagy induction (Fig 5), we noted that there was a significant increase of LC3-II under basal condition (no autophagy induction) in STRA8-expressing cells, suggesting that STRA8 also inhibits autophagosome maturation, which results in autophagosome accumulation (upregulation of LC3-II) (Fig 6A). This result was confirmed at the cellular level by a significant increase of LC3 puncta (Fig 6B). Inhibition of autophagy flux frequently leads to autophagosome accumulation. Indeed, in our in vitro RFP-GFP-LC3 assay to monitor autophagy flux, STRA8 expression induced a significant accumulation of autophagosome vesicles (GFP-positive and RFP-positive puncta) that failed to mature into autolysosome vesicles (GFP-negative and RFP-positive puncta) (Fig 6C).
LC3-II and p62 are selectively degraded by autophagy. During chloroquine treatment, LC3-II and p62 accumulate due to inhibited autophagic flux, thereby serving as an indicator of autophagy flux activity. We show that the increment of p62 accumulation is significantly smaller in STRA8-expressing cells, suggesting that autophagy flux is being inhibited by STRA8. Consistent with the findings using in vitro RFP-GFP-LC3 assay, inhibition of autophagosome maturation by chloroquine resulted in a significant increase of LC3-II and p62 levels in control cells, but no significant further increase of LC3-II and p62 was observed in STRA8-expressing cells after chloroquine treatment (Fig 6B, 6D and 6E). Collectively, these data suggest that STRA8 also blocks autophagosome maturation under basal conditions.
To evaluate whether STRA8 influences autophagy-lysosome gene expression, the expression levels of the autophagy-lysosome genes that were upregulated in Stra8-deficient testes (Fig 4) were examined in these cells. We found that STRA8 expression alone was sufficient to cause a significant decrease in their expression levels, including Ulk1, Pik3C3, LC3B, Vps18, Lamp2, and Tfeb (Fig 6F). Together, these data suggest that STRA8 functions as a suppressor of autophagy by inhibiting autophagy-lysosome gene expression. Thus, loss of STRA8 function leads to the aberrant autophagy activation and upregulation of autophagy-lysosome gene expression in Stra8-deficient testes.
Basic helix loop helix (bHLH) domain of STRA8 is required for autophagy suppression
STRA8 contains a highly conserved bHLH domain that exhibits DNA binding activity [4]. To gain mechanistic insight into STRA8-mediated autophagy suppression, two STRA8 mutants in the bHLH domain were generated (S5A Fig): in the first mutant, point mutations were introduced in the first helix domain, which are known to disrupt the DNA binding activity of bHLH family transcription factors (mHelix) [27]; in the second mutant, point mutations were introduced in the basic domain, which disrupts the nuclear localization of STRA8 (mNLS) [4]. Both STRA8 mutants exhibited impaired nuclear localization (S5B Fig) and lost their ability to suppress autophagy activation (S5C Fig) as well as maturation (S5D Fig). These data suggest that the bHLH domain of STRA8 is critical for its autophagy suppression function.
Nr1d1 is a genomic target of STRA8
To identify putative target gene(s) of STRA8 that could mediate its autophagy suppression function, we have performed an RNA-sequencing analysis in cells with transient ectopic expression of STRA8 under normal conditions. STRA8 upregulated 7 genes and downregulated 15 genes (≥ 2-fold change) (Fig 7A). Interestingly, none of the autophagy and lysosome genes upregulated in Stra8-deficient testes was detected under this condition, suggesting that STRA8 regulates autophagy through other target(s). Among the regulated genes by STRA8, we found that Nr1d1, a gene downregulated by STRA8, encodes a nuclear hormone receptor also known as Rev-erb-α. Nr1d1 is a critical circadian rhythm gene [28]. Recently, several studies have shown that NR1D1 acts as either an activator or an inhibitor of autophagy by regulating autophagy-lysosome gene expression, depending upon tissue context [29–31]. We therefore hypothesized that Nr1d1 could be a functional target of STRA8.
We confirmed that ectopic expression of STRA8 significantly reduced Nr1d1 levels in F9 cells and other cell types examined (S6A and S6B Fig), while the bHLH mutants of STRA8 failed to inhibit Nr1d1 expression (S6A Fig). Reciprocally, Stra8-deficiency induced a significant upregulation of Nr1d1 expression at mRNA level as detected by qRT-PCR analysis in testes (S6C Fig) and by in-situ hybridization (Fig 7B). To further evaluate if the induction of Nr1d1 mRNA is intrinsic to germ cells, we isolated the c-Kit-positive integrin α6-low differentiating spermatogonia, in which Stra8 is predominantly expressed, as well as the c-Kit-negative and integrin α6-high undifferentiated spermatogonia population, in which Stra8 is yet to be fully activated (S7 Fig) [32]. We found that Nr1d1 is more significantly upregulated in differentiating spermatogonia isolated from Stra8-deficient testes (Fig 7C). Moreover, we show that Stra8-deficient germ cells exhibited higher levels of NR1D1 expression at protein levels using immunofluorescence (Fig 7D).
To evaluate whether Nr1d1 is a direct genomic target of STRA8, the proximal region of the Nr1d1 promoter was examined for possible STRA8 binding sites. This identified a highly conserved canonical E-box (CAGCTG), the binding motif for members of the vertebrates bHLH protein family (Fig 7E). Chromatin immunoprecipitation (ChIP) detected robust STRA8 binding to this region of the NR1D1 promoter (Fig 7F), suggesting that STRA8 represses Nr1d1 transcription through E-box binding. Both bHLH mutants of STRA8 do not associate with the NR1D1 promoter at this E-box. Together, these data suggest that Nr1d1 is under direct transcriptional repression by STRA8.
Ulk1 is a genomic target of NR1D1 in mammalian testes
To characterize whether STRA8 suppresses autophagy through NR1D1, we noted that past studies have shown that NR1D1 regulates autophagy through modulating the expression of Ulk1 gene [29–31], which encodes an essential autophagy initiator [33, 34]. Ulk1 mRNA is upregulated in Stra8-deficient testes, which we further confirmed using in-situ hybridization (Fig 8A). Moreover, we show that Ulk1 expression was significantly increased in c-Kit-positive integrin α6-low differentiating spermatogonia isolated from Stra8-deficient testes (Fig 8B), concomitant with upregulation of NR1D1 expression (Fig 7B–7D). Moreover, we examined a 2-kb region upstream of the transcription start site of mouse Ulk1 promoter and identified 3 RAR-related Orphan Receptor (ROR) DNA elements (ROREs), which consists of (A/G)GGTCA and could be putative NR1D1 binding sties [35, 36]. We therefore tested whether NR1D1 could directly regulate Ulk1 expression in mouse testis by a ChIP assay. Importantly, we found that NR1D1 binding affinity declined progressively from the distal to the proximal ROREs of the Ulk1 promoter (Fig 8C), suggesting that NR1D1 activates Ulk1 expression by engaging directly on the distal ROREs.
Transcriptional activation of Ulk1 is known to increase autophagy activity [37]. To test whether NR1D1 upregulation mediates the aberrant activation of Ulk1 transcription in Stra8-deficient testes, Ulk1 expression was evaluated in Stra8-/-;Nr1d1-/- double knockout mice. Testicular Ulk1 expression in double knockout mice was similar to that in wild-type, indicating that Nr1d1 is required for Ulk1 induction in Stra8-deficient testes (Fig 8D). Together, the results suggest that STRA8 suppresses autophagy by transcriptionally repressing Nr1d1 expression and, consequently, inhibiting the expression of essential autophagy initiation gene Ulk1.
Genetic and pharmacological NR1D1 inhibition is sufficient to rescue Stra8-deficient testicular germ cells from meiotic initiation arrest
To test whether repression of Nr1d1 activation by STRA8 is required to initiate meiosis, we evaluated whether NR1D1 inhibition could rescue Stra8-deficient testicular germ cells from meiotic initiation arrest. Stra8-deficient germ cells fail to enter meiosis during the first round of meiotic initiation in juvenile mouse testes [8]. Thus, we evaluated meiotic initiation of testicular germ cells into leptotene spermatocytes at 10 d.p.p.. In agreement with the previous report [8], we found that while spermatocytes at early meiotic prophase (leptotene) have appeared as a result of the first round of meiotic initiation in wild-type testes, these meiotic spermatocytes were absent in Stra8-deficient testes at this age (Fig 9A and 9D). Consistently, germ cells exhibiting nuclear distribution of SYCP3 (a synaptomeal complex protein) [38] together with foci of γ-H2AX (a hallmark of DNA DSBs) [39], two molecular characteristics of leptotene spermatocytes, were absent in Stra8-deficient testes (Fig 9B and 9E). Furthermore, gene expression analysis showed that testicular levels of Spo11, which encodes a topoisomerase essential for meiotic DSB formation [40, 41], Dmc1, which encodes a recombinase functioning in meiotic DSB repair [42, 43], and Sycp3, were significantly downregulated in Stra8-deficient mice (S8 Fig). Therefore, these missing hallmarks of meiotic initiation in Stra8-deficient testes at 10 d.p.p. provide a platform to evaluate the potential rescuing effects of NR1D1 inhibition on meiotic initiation.
Notably, juvenile testes from Stra8-/-;Nr1d1-/- mice at 10 d.p.p. contained germ cells with nuclear morphology resembling that of leptotene spermatocytes as observed in wild-type testes (Fig 9A; S9A Fig). Consistently, immunostaining revealed germ cells that exhibit nuclear distribution of SYCP3 together with foci of γ-H2AX staining in these testes (Fig 9B). Testicular levels of Spo11, Dmc1, and Sycp3 were significantly upregulated in Stra8-/-;Nr1d1-/- mice when compared to Stra8-/-;Nr1d1+/+ mice (Fig 9C). Moreover, Nr1d1 knockout alone showed no appreciable effect on meiotic initiation (Fig 9A; S9B and S9C Fig). Taken together, these results suggest that genetic loss of Nr1d1 exhibited rescuing effects on the meiotic initiation arrest in Stra8-deficient testicular germ cells.
To further examine the effect of NR1D1 inhibition on meiotic initiation arrest in Stra8-deficient testicular germ cells, we treated Stra8-deficient mice with SR8278, a synthetic NR1D1 antagonist [44]. Consistent with the results of genetic NR1D1 inhibition, we found that pharmacological inhibition recovered the appearance of germ cells with nuclear morphology as well as molecular hallmarks of leptotene spermatocytes in Stra8-deficient testes (Fig 9D and 9E). In addition, SR8278 treatment significantly stimulated testicular levels of Spo11, Dmc1, and Sycp3 in Stra8-deficient testes (Fig 9F). SR8278 treatment showed no appreciable effects on meiosis in wild-type testes (Fig 9D; S9D and S9E Fig). Taken together, the results from both genetic and pharmacological inhibition of NR1D1 suggest that aberrant upregulation of NR1D1 contributes to the meiotic initiation arrest of Stra8-deficient germ cells and that inhibition of Nr1d1 expression is an important feature of STRA8-directed meiotic initiation.
Aberrant autophagy activation and upregulation of autophagy-lysosome gene expression in Stra8-deficient fetal ovaries during the developmental window of meiotic initiation
Despite dramatic sexual dimorphism in mammalian meiosis [45, 46], STRA8 appears to exhibit a comparable role in inducing both male and female meiosis [7, 8]. Thus, to examine whether STRA8 adopts similar mechanism of autophagy suppression in inducing meiosis in females, we investigated female meiosis, which occurs during embryonic day 13.5 (E13.5) to E16.5. Consistent with the observations in postnatal Stra8-deficient testes, autophagosome structures were frequently identified in germ cells of Stra8-deficient E14.5 ovaries (17 autophagosomes observed in 119 germ cells from 2 ovaries). In contrast, similar structures were not observed in age-matched wild-type fetal ovaries (158 germ cells from 2 wild-type fetal ovaries examined) (Fig 10A and 10B). Moreover, autophagy-lysosome genes as well as the STRA8 target gene, Nr1d1, were significantly upregulated in Stra8-deficient ovaries when compared to wild-type ovaries at the same developmental stage (Fig 10C). However, similar changes were not observed in embryonic testes at this age, because at this age meiosis is still inactive and STRA8 is absent until after birth (Fig 10D). Taken together, the results suggest that, similar to its role in male germ cell meiosis, STRA8 functions as a suppressor of autophagy in female meiosis.
Discussion
Despite being an essential gatekeeper of meiotic initiation in mammalian germ cells, the molecular function of STRA8 has remained elusive to date. Here, by using mouse spermatogenesis as a model together with in vitro biochemical assays for autophagy, we report that STRA8 acts as a suppressor of autophagy by repressing Nr1d1 expression and consequently, inhibiting Ulk1 expression (Fig 11). Our data suggest a novel link between suppression of autophagy and meiotic initiation during mammalian germ cell development.
Molecular characterization of STRA8
Stra8 was first reported as an essential gatekeeper of meiotic initiation in 2006 [7]. To our knowledge, the first study attempted to characterize the molecular function of STRA8 reports that STRA8 shuttles between nucleus and cytoplasm, but is mostly nuclear in freshly isolated germ cells [4]. This agrees with a study using immunostaining in PFA-fixed testicular sections, which localized STRA8 predominantly to the nucleus of meiosis-entering preleptotene spermatocytes [6]. In addition, protein-DNA cross-link studies showed STRA8 had DNA binding activity [4]. Moreover, STRA8 displays transcriptional activity when fused to a GAL4-DNA binding domain, [4]. Although these in vitro assays suggest STRA8 as a transcription factor, the targets of STRA8 and their molecular consequences have yet to be identified.
To characterize the meiotic gene program regulated by STRA8 in vivo, Soh and colleagues conducted RNA-sequencing analysis in wild-type and Stra8-deficient fetal ovaries at E14.5, when ovarian germ cells enter meiosis [47]. However, only meiotic genes were not selected for investigation by Soh and colleagues. Interestingly, examination of this earlier RNA-sequencing result revealed notable similarities to the data reported herein, namely, the autophagy-lysosome genes that exhibit significant upregulation in both Stra8-deficient testes at 10 d.p.p. and Stra8-deficient fetal ovaries at E14.5 in our study (Fig 4 and Fig 10C, respectively), including Ulk1, Atg5, Map1lc3b, Lamp2, Vps18, and Tfeb, also exhibited tendency of being upregulated in Stra8-deficient fetal ovaries at E14.5 in the RNA-sequencing result of Soh and colleagues. Moreover, except for Map1lc3a, the autophagy-lysosome genes that were not upregulated in Stra8-deficient testes at 10 d.p.p. in our study (Fig 4), i.e., Pik3c3, Atg7, Vps11, Uvrag, Lamp1, and Becn1, were also not upregulated in Stra8-deficient fetal ovaries at E14.5 in the RNA-sequencing result of Soh and colleagues. Thus, changes in autophagy-lysosome gene expression in Stra8-deficient fetal ovaries at E14.5 detected by Soh and colleagues using RNA-sequencing align with the data presented in the current study. These data together suggest that STRA8 inhibits the expression of a selective autophagy-lysosome gene program, thereby suggesting STRA8 functions as s suppressor of autophagy.
A more recent study by Shen and colleagues is focused on characterizing a potential role for STRA8 in preventing apoptosis of germ cells [48]. Generally speaking, autophagy is associated with a response to stress to prevent cells death; however, excessive autophagy leads to apoptosis [49]. Stra8-deficient germ cells exhibited profound activation of autophagy (Figs 1–4) which may represent a condition of uncontrolled autophagy activation that leads to their germ cell apoptosis [8].
Autophagy in meiosis
To date, the roles of autophagy regulation in meiosis remains unclear. In budding yeast (S. cerevisiae), autophagy participates in the early phase of meiosis and is switched off upon meiotic division [50]. In fission yeast (S. pombe), however, autophagy is thought to be required for chromosome segregation during meiotic division [51]. Thus, these observations underscore the concept that mechanisms of meiotic initiation could differ in model organisms [2].
Our observation that autophagy is being actively suppressed by STRA8 during meiotic initiation in mouse spermatogenesis is in accordance with a recent study of autophagy in rat spermatogenesis, in which autophagy was found only to be activated during late meiotic spermatocytes but not in spermatogonia and early spermatocytes [19]. This is in line with the finding in yeast, in which autophagy is required for proper meiotic chromosome segregation [51]. Together, our findings suggest that activation of autophagy is specifically prevented by STRA8 during meiotic initiation in mammalian germ cell development. It should be noted that Stra8-deficient germ cells, when rescued by inhibiting NR1D1 antagonist SR8278, do not progress beyond leptotene stage (S10 Fig), suggesting that STRA8 has additional role(s) beyond the initiation of meiosis through NR1D1-independent mechanisms. For instance, based on our RNA-seq analysis, 15 out of 22 STRA8-regulated genes of are noncoding RNAs (Fig 7A). Given that non-coding RNAs play an essential role in meiosis prophase and homologous recombination [35], it is possible that STRA8 regulates this stage of meiosis through noncoding RNAs.
NR1D1 in transcriptional autophagy regulation
We observed that STRA8-deficiency resulted in a significantly autophagy-lysosome gene expression in testes; reciprocally, these autophagy-lysosome genes were downregulated in cultured cells with stable STRA8 expression. Based on these data and a past study that indicated STRA8 could bind to DNA and display transcriptional activity [4], we had expected that STRA8, like some other transcriptional regulators of autophagy, such as TFEB [13] or FXR [52], could potentially regulate a wide spectrum of autophagy-lysosome genes directly. However, no autophagy-lysosome genes were identified as direct targets of STRA8 by transient ectopic expression of STRA8 in our in vitro RNA-sequencing analysis under basal condition. Instead, Nr1d1 was identified as a target repressed by STRA8 transcriptionally. To date, three studies have reported a role of NR1D1 in either inducing or inhibiting autophagy, all involving transcriptional regulation of Ulk1 [29–31]. While Woldt and colleagues reported that NR1D1-deficiency in murine muscle leads to upregulation of autophagy [30], Chandra and colleagues reported that Nr1d1-knock down leads to reduced autophagy and downregulation of Ulk1 gene expression in human macrophage [29]. Interestingly, whether NR1D1 is an autophagy inducer or inhibitor remains unclear in the study reported by Huang and colleagues [31]. Thus, these studies point out a critical regulatory role of NR1D1 in autophagy through modulating autophagy-lysosome gene expression. Herein, the data show that genetic loss of NR1D1 prevented the upregulated Ulk1 expression normally observed in Stra8-knockout testes (Fig 8D), supporting a role for NR1D1 as an inducer of autophagy by activating autophagy-lysosome gene expression during germ cell development. It is currently unclear why there is a robust activation of autophagy that is precisely counteracted by STRA8-mediated suppression of autophagy during the transition to meiosis. One possibility is that the activation of autophagy is simply a response to cellular stress. A second, and more intriguing, possibility is that autophagy induction also plays an essential role in meiotic initiation and is an area that warrants further investigation.
Induction of DSBs as a potential role for autophagy suppression in meiotic initiation
Based primarily on models of somatic tumorigenesis, genetic disruption of critical autophagy factors can induce the formation of DNA DSBs upon metabolic stress [14, 15]. In germ cells, DSBs are required to initiate meiosis and permit the exchange of genetic information between maternal and paternal chromosomes through homologous recombination [53]. Stra8 activation is required for meiotic DSB formation [7, 8]. Thus, by characterizing STRA8 as a suppressor of autophagy, our work suggests autophagy suppression as a possible mechanism adopted by germ cells to form meiotic DSBs. The mechanisms underlying autophagy inhibition-induced DSB formation is currently unclear. Several studies show that autophagy-deficiency causes DNA damage through accumulation of autophagic substrate, p62 [54–56]. However, p62-deficient mice are reportedly to be fertile [57], suggesting that p62 accumulation alone is dispensable for meiosis. In addition, loss of autophagy has been shown to affect DNA damage repair machineries, such as HIPα (a molecule essential for chromosome condensation) [16] and Chk1 (a molecular regulator of DNA damage repair by homologous recombination) [58]. Thus, a role for autophagy suppression in DSB formation during meiotic initiation remains to be determined.
Implication for in vitro meiotic induction in germ cell production
Mounting efforts have been directed to derive functional haploid gametes (sperm or oocytes) from spermatogonial stem cells, embryonic stem cells or induced pluripotent stem cells in cultures [59]. However, how to properly induce and sustain meiosis remains to be a major challenge in this field. Our study revealed that germ cells entering meiosis is exposed to an antagonistic pressure of simultaneous autophagy induction and STRA8-mediated autophagy suppression. Thus, manipulating autophagy pathway to mimic this in vivo condition may facilitate the induction of meiosis in cultures, thereby advancing the technology of in vitro haploid gamete production that may ultimately afford clinical utility in assisted reproduction technology.
Materials and methods
Animals and treatments
All genetically modified mice were obtained from Jackson Laboratory: Stra8-deficient mice (Stock number: 023805), RFP-GFP-LC3 transgenic mice (Stock number: 027139), and Nr1d1-deficient mice (Stock number: 018447). For chloroquine treatment, mice were injected intraperitoneally with chloroquine dissolved in PBS at 100 mg/kg body weight daily. For SR8278 treatment, mice at 7 days of age were injected intraperitoneally with vehicle (5% DMSO, 10% Cremephol, and 85% PBS) or SR8278 at 100 mg/kg body weight daily for 3 days. Postnatal testes were dissected from male mice after euthanasia. For timed pregnancy, females at estrus stage were caged with males overnight, and the presence of vaginal plug was examined the following morning and the midday was defined as E0.5. Pregnant females were euthanized when embryos reached E14.5. Embryos were collected from uterine horns before gonad isolation under a binocular dissecting microscope.
Ethics statement
All procedures and care of animals were carried out according to the Massachusetts General Hospital (MGH) and the University of Kansas Medical Center (KUMC) Institutional Animal Care and Use Committee (IACUC) under IACUC protocol number 2012N000015 and 2018–2461, respectively. Euthanasia was performed by CO2 inhalation followed by cervical dislocation (MGH) and decapitation (KUMC).
Electron microscope
Tissue specimens were fixed in 2.5% glutaraldehyde in 0.1M sodium phosphate buffer (pH 7.4, Electron Microscopy Sciences, Hatfield, PA), then rinsed several times in 0.1M sodium cacodylate buffer. Specimens were post-fixed in 1.0% osmium tetroxide in cacodylate buffer for 1 hour at room temperature and rinsed several times in cacodylate buffer. Samples were then dehydrated through a graded series of ethanols to 100% and dehydrated briefly in 100% propylene oxide. Samples were pre-infiltrated 2 hours in a 2:1 mix of propylene oxide and Eponate resin (Ted Pella, Redding, CA), then transferred into a 1:1 mix of propylene oxide and Eponate resin and allowed to infiltrate overnight on a gentle rotator. The following day, specimens were infiltrated with fresh 100% Eponate resin for several hours, embedded in flat molds with fresh 100% Eponate and allowed to polymerize 24–48 hours at 60°C. Thin (70nm) sections were cut using a Leica EM UC7 ultramicrotome, collected onto formvar-coated grids, stained with uranyl acetate and Reynold's lead citrate and examined in a JEOL JEM 1011 at MGH or The JEOL JEM-1400 at KUMC transmission electron microscope at 80 kV. Images were collected using an AMT digital imaging system (Advanced Microscopy Techniques, Danvers, MA).
Plasmids
Human STRA8 expression plasmid was obtained from Origene (RC213536). To tag STRA8 with GFP, STRA8 cDNA was inserted into the pEGFP-N1 vector (Clontech). Mutant STRA8 plasmids were generated using Q5 mutagenesis kit (New England Biolabs). All plasmids were sequenced to confirm fidelity prior to use.
Cell culture
F9 embryonic carcinoma cells (ATCC CRL-1720; American Type Culture Collection) and 293T were cultured at 37°C in a humidified atmosphere of 5% CO2-95% air in DMEM containing 4.5 g/l glucose and supplemented with 10% FBS (Invitrogen), 2 mM L-glutamine, 50 μg/ml penicillin and 50 μg/ml streptomycin. F9 cells were cultured on 0.1% gelatin-coated tissue culture plates. Cells were transfected using Lipofectamine 2000 (Invitrogen) and then stably selected by G418 (Invitrogen) for 2 to 3 weeks, before STRA8-expressing cells (GFP-positive) were identified and isolated by flow cytometry. F9 cells expressing GFP alone were used as control. For LC3 staining, cells were fixed in ice-cold methanol for 2 minutes before immunostaining with antibody against LC3 (12741, Cell Signaling Technology). Images were captured by using a ZEISS LSM 800 confocal microscopy with Airyscan. To induce autophagy, control or Stra8-expressing cells were treated with rapamycin (0.1 mM), metformin (2 mM), or Earle's balanced salt solution (EBSS) for 2 hours before cell lysates were collected. To monitor the effects of blocking autophagosome maturation, control or STRA8-expressing cells were treated with chloroquine (20 μM) for 2 hours before cell lysates were collected. Hela cells carrying mRFP-GFP-LC3 were transfected by plasmid expressing empty pCMV6 vector or STRA8 (not tagged with GFP). Then, cells were fixed by 4% paraformaldehyde for 10 minutes at room temperature before observation under fluorescence microscope.
Immunostaining
Testes were fixed in 4% paraformaldehyde, embedded in paraffin, and sectioned for analysis. Antibodies used include: p62 (ab56416, abcam; 1:2000 dilution for immunofluorescence and 1:10,000 dilution for immunohistochemistry), γ-H2AX 05–636, Millipore; 1:1,000 dilution), NR1D1 (sc-100910, Santa Cruz Biotechnology; 1:500 dilution), SYCP3 (sc-74569, Santa Cruz Biotechnology; 1:500 dilution). For immunofluorescence, detection was performed using Alexa fluor 546-conjugated goat anti-rabbit antibody and Alexa fluor 488-conjugated goat anti-mouse secondary antibodies. For immunohistochemistry, detection was performed using goat anti-mouse or goat anti-rabbit as secondary antibody for horseradish peroxidase-based DAB detection (DAKO). Images were captured using a Nikon ECLIPSE TE2000-S microscope and were analyzed by Image J software (National Institutes of Health).
Imaging of the RFP-GFP-LC3 reporter
Dissected seminiferous tubules from wild-type and Stra8-deficient testes carrying the RFP-GFP-LC3 reporter were fixed in 4% paraformaldehyde on ice for an hour. Tissue is washed with PBS to remove PFA. For whole-mount imaging, tissues of seminiferous tubules were mounted directly on glass slides in PBS for confocal microscopy by using a Nikon A1R microscope. For imaging on testicular cross sections, testes were cryosectioned. Then sections were washed with warm PBS to remove gelatin and were imaged under Nikon ECLIPSE TE2000-S microscope. No staining was performed under both conditions. Images from wild-type and Stra8-deficient samples mounted on the same slide were captured and processed in parallel using identical settings.
Western blot
Total protein was isolated in RIPA buffer supplemented with 1 mM PMSF (Sigma) and protease inhibitor cocktail (Sigma P8340). Lysates were cleared by centrifugation at 14,000 X g for 10 min at 4°C, and protein concentrations in supernatants were determined (DC protein assay; BioRad). Equal amount of protein from each sample was mixed with LDS sample buffer (Invitrogen) plus sample reducing agent (Invitrogen), and denatured for 10 min at 70°C. Proteins were resolved in Bis-Tris gels (Thermo Fisher), and transferred to PDVF membranes. Blots were probed with antibodies against LC3A/B (12741, Cell Signaling Technology; 1:1,000 dilution), p62 (ab56416, Abcam; 1:20,000 dilution), GFP (sc-9996, Santa Cruz Biotechnology; 1:1,000 dilution), or pan-actin (MS-1295, Thermo Fischer; 1:1,000 dilution), washed and reacted with horseradish peroxidase-conjugated goat anti-rabbit or anti-mouse IgG (BioRad). Detection was performed with the Clarity ECL Western Blotting Substrate (BioRad).
Chromatin immunoprecipitation (ChIP)
293T cells were transfected with plasmid expressing GFP-tagged wild-type and mutant STRA8. 24 hours later, cell lysates were processed using the EZ-ChIP kit (Millipore, Temecula, CA) along with a rabbit polyclonal anti-GFP antibody (ab290; Abcam) for immunoprecipitation. Normal rabbit IgG was used as a negative control. Precipitated soluble chromatin was analyzed by PCR using primer sets to target E-box: forward, 5’-CCC TCC CCG GCT TCT CTC TCT CC-3’, reverse, 5’-GCA AAC CTT GCA AAC GTG AGG GC-3’; and to target exon 8: forward, 5’-CCG GAC CTG CGG ACC CTG AAC AA-3’, reverse, 5’-TCT GTA CAA GGG GGC AGC GGC AGA-3’.
To characterize NR1D1 binding to the Ulk1 promoter, testicular lysates were processed using the EZ-ChIP kit (Millipore, Temecula, CA) along with a rabbit polyclonal anti-NR1D1 antibody (#13418; Cell Signaling Technology) for immunoprecipitation. Normal rabbit IgG was used as a negative control. Precipitated soluble chromatin was analyzed by PCR using primer sets to target ROREs: primer set 1, forward, 5’-AAT GGG TAT GTG CGA CAA CA-3’, reverse, 5’-TGT CAT TTG GGG AGG GGT AT-3’; primer set 2, forward, 5’-TGC CAA GTT TGA CAA CCT GA-3’, reverse, 5’-CTG TAT GTG GGG ACG GAG AC-3’; primer set 3, forward, 5’-GCA CCT GCC TTT AAT TCC AA-3’, reverse, 5’-CGA CTG GTC TCG AAC TTG CT-3’.
RNA-sequencing
MCF-7 cells were transiently transfected with control (pCMV6) or STRA8 plasmid. Cells were collected after 24 hours. Total RNA was isolated using the RNeasy Mini Kit (Qiagen). Following rRNA depletion using RiboZero kit (Epicentre/Illumina), RNA-Seq libraries were constructed using NEBNext Ultra Directional RNA library prep kit for Illumina (New England Biolabs) and sequenced on Illumina HiSeq2500 instrument, resulting in approximately 25 million reads per sample on average. STAR aligner was used to map sequencing reads to transcripts in hg19 reference genome. Read counts for individual transcripts were produced with HTSeq-count, followed by the estimation of expression values and detection of differentially expressed transcripts using EdgeR. Principle component analysis (PCA) was performed on the union of differentially expressed transcripts in all samples.
In situ hybridization procedures (ISH)
In situ hybridization (ISH) has been described previously [60]. Antisense Nr1d1 probe (825 bp) and Ulk1 probe (843 bp) were amplified from cDNA prepared from juvenile testes, and labeled with digoxigenin (Roche Diagnostics).
Isolation of c-Kit-negative and c-Kit-positive spermatogenic cells
Testes were collected from age-matched wild-type and Stra8-deficient mice. Testicular cells were dissociated by two-step enzymatic digestion, followed by staining with PE-conjugated rat anti-human integrin α6 antibody (BD Pharmingen, clone GoH3) and APC-conjugated rat anti-mouse c-Kit antibody (BD Pharmingen, clone 2B8) as previously described [32]. 40,000–50,000 cells from each population were sorted directly into lysis buffer in NucleoSpin RNA XS kit (Takara) for subsequent RNA isolation.
Gene expression analysis
Equal amount of total RNA from each sample was reverse transcribed by using SuperScript III from Invitrogen. quantitative RT-PCR was conducted by using SsoAdvanced Universal SYBR Green Supermix (BioRad). Primer sequences are listed below:
β-actin forward, 5’-CTG CCG CAT CCT CTT CCT C-3’
reverse, 5’-GCC ACA GGA TTC CAT ACC CA-3’
Mvh forward, 5’-GCT TCA TCA GAT ATT GGC GAG T-3’
reverse, 5’-GCT TGG AAA ACC CTC TGC TT-3’
Maplc3A forward, 5’-CAC ATC CTG GGT AGG TCC TG-3’
reverse, 5’-AAT GAC AAA CCC CAC AGA GC-3’
Maplc3B forward, 5’-CGG CTT CCT GTA CAT GGT TT-3’
reverse, 5’-AAC CAT TGG CTT TGT TGG AG-3’
Atg12 forward, 5’-TCC CCG GAA CGA GGA ACT C-3’
reverse, 5’-TTC GCT CCA CAG CCC ATT TC-3’
Atg5 forward, 5’-TGT GCT TCG AGA TGT GTG GTT-3’
reverse, 5’-GTC AAA TAG CTG ACT CTT GGC AA-3’
Atg7 forward, 5’-GTT CGC CCC CTT TAA TAG TGC-3’
reverse, 5’-TGA ACT CCA ACG TCA AGC GG-3’
Pik3c3 forward, 5’-CCT GGA CAT CAA CGT GCA G-3’
reverse, 5’-TGT CTC TTG GTA TAG CCC AGA AA-3’
Tfeb forward, 5’-CCA CCC CAG CCA TCA ACA C-3’
reverse, 5’-CAG ACA GAT ACT CCC GAA CCT T-3’
Ulk1 forward, 5’-AAG TTC GAG TTC TCT CGC AAG-3’
reverse, 5’-CGA TGT TTT CGT GCT TTA GTT CC-3’
UVRAG forward, 5’-ACA TCG CTG CTC GGA ACA TT-3’
reverse, 5’-CTC CAC GTC GGA TTC AAG GAA-3’
Vps11 forward, 5’-AAA AGA GAG ACG GTG GCA ATC-3’
reverse, 5’-AGC CCA GTA ACG GGA TAG TTG-3’
Vps18 forward, 5’-ACG AGG ACT CAT TGT CCC G-3’
reverse, 5’-CAT ACC CAG AAT GGG GGA TGC-3’
Lamp1 forward, 5’-CAG CAC TCT TTG AGG TGA AAA AC-3’
reverse, 5’-ACG ATC TGA GAA CCA TTC GCA-3’
Lamp2 forward, 5’-TGT ATT TGG CTA ATG GCT CAG C-3’
reverse, 5’-TAT GGG CAC AAG GAA GTT GTC-3’
Sqstem1 forward, 5’-AGG ATG GGG ACT TGG TTG C-3’
reverse, 5’-TCA CAG ATC ACA TTG GGG TGC-3’
Beclin1 forward, 5’-ATG GAG GGG TCT AAG GCG TC-3’
reverse, 5’-TCC TCT CCT GAG TTA GCC TCT-3’
Nr1d1 forward, 5’-ATG CCC ATG ACA AGT TAG GC-3’
reverse, 5’-CGG TGT GGA GTT GTA GCT GA-3’
Data presentation and analysis
All experiments were replicated at least three times independently. Different mice, tissues or cells were used during each experimental replicate. Animal assignment to each experimental group was made randomly. Quantitative data from the experimental replicates were pooled and are presented as the mean ± SEM or mean ± SD as indicated in the figure legend. Compiled data were analyzed by Student’s t-test.
Supporting information
Acknowledgments
We thank L. L. Heckert (KUMC), M. O’Bryan (Monash University) and P. K. Donahoe (MGH) for critical reading of our manuscript. We thank B. Duan (University of Michigan) for expert support of our in-situ hybridization procedures. We are grateful to HSCI-CRM Flow Cytometry Core Facility at MGH and Flow Cytometry Core Laboratory at KUMC for their expert support of cell sorting. Electron microscopy was performed in the Electron Microscope Research Laboratory at KUMC and Massachusetts General Hospital (MGH) Microscopy Core of the Center for Systems Biology/Program in Membrane Biology.
Data Availability
All relevant data are within the manuscript and its Supporting Information files.
Funding Statement
This work is supported by NIH K99/R00-AG039512 and R21-HD087741 to NW. KGL and RJX is supported by Leona M. and Harry B. Helmsley Charitable Trust and NIH U19-AI109725. Massachusetts General Hospital Microscopy Core of the Center for Systems Biology/Program in Membrane Biology is partially supported by the Center for the Study of Inflammatory Bowel Disease (NIH P30-DK043351) and a Boston Area Diabetes and Endocrinology Research Center (BADERC) Award (NIH P30-DK057521). University of Kansas Medical Center Electron Microscopy Core is partially supported by NIH P20-GM104936 and the JEOL JEM-1400 transmission electron microscope was purchased with funds from NIH grant 1S10RR027564. The University of Kansas Medical Center Flow Cytometry Core Laboratory is sponsored, in part, by the NIH/NIGMS COBRE grant P30-GM103326. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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